Active NPI
The Riverwoods Company at Exeter, New Hampshire
- Skilled Nursing Facility
- Exeter, NH
National Provider Identifier
1255328159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 02112
- Legal business name
- THE RIVERWOODS COMPANY AT EXETER, NEW HAMPSHIRE
- Practice address
- 7 Riverwoods Dr
Riverwoods at Exeter
Exeter, NH 03833-4374 - Phone
- (603) 742-4700
- NPI assigned
- Oct 5, 2005
- Last updated
- Jul 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Crystal Floyd
- Title
- Accounting Coordinator
- Phone
- (603) 658-1580
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 02112 | NH | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 140784 | NH |
Addresses
Primary practice location
7 Riverwoods Dr
Riverwoods at Exeter
Exeter, NH 03833-4374
Mailing address
7 Riverwoods Dr
Exeter, NH 03833-4374
Phone (603) 742-4700
Other names 1
- Riverwoods at Exeter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070612000104 | NH | Part A Provider - Skilled Nursing Facility | 3173629797 | Practice locations: Exeter, NH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1255328159. Details of each certification follow.
Skilled nursing facility certification: CCN 305049
- Legal name
- THE RIVERWOODS COMPANY AT EXETER NEW HAMPSHIRE
- Doing business as
- RIVERWOODS EXETER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Mar 17, 1995
- Last certification
- Mar 6, 2025
- Beds
- 8
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 6, 1983 in NH
- Enrollment address
- 6 White Oak Dr
Exeter, NH 03833-5324 - Nursing home name
- RIVERWOODS AT EXETER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Riverwoods at Exeter
- Overall star rating
- Health inspections
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Mar 17, 1995
- Medicare certification status
- Active
- Certified beds
- 8
National Provider Directory
National Provider DirectoryLocations
7 Riverwoods Dr
Exeter, NH 03833
Phone (603) 742-4700
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Deborah a Riddell | Corporate Director | Jun 1, 2017 | |
| Howard Ulfelder | Corporate Officer | Jun 1, 2016 | |
| J Michael Hickory | Corporate Officer | Jun 1, 2020 | |
| Justine Vogel | W-2 Managing Employee | Jun 1, 2007 | |
| David P Brownell | Corporate Officer | Jun 1, 2020 | |
| Cathy Towers | Corporate Officer | Jun 1, 2016 | |
| Patricia a Prue | Corporate Officer | May 1, 2022 | |
| Sarah a Maccraken Donnelly | Corporate Officer | Jun 1, 2020 | |
| William L Stafford | Corporate Officer | Jun 1, 2020 | |
| Kevin P Goyette | Corporate Officer | Jan 1, 2007 | |
| W-2 Managing Employee | May 31, 2022 | ||
| Susan Y. Desjardins | Corporate Officer | Jun 1, 2020 | |
| Daniel W Chartrand | Corporate Officer | Jun 1, 2020 |
Practitioners & affiliated clinicians
Affiliated clinicians 13
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Exeter, NH
- NPI 1811223977
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374796800000",
"number": "1255328159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 RIVERWOODS DR",
"city": "EXETER",
"state": "NH",
"postal_code": "038334374",
"telephone_number": "603-742-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 RIVERWOODS DR",
"address_2": "RIVERWOODS AT EXETER",
"city": "EXETER",
"state": "NH",
"postal_code": "038334374",
"telephone_number": "603-742-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE RIVERWOODS COMPANY AT EXETER, NEW HAMPSHIRE",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-05",
"last_updated": "2013-07-26",
"status": "A",
"authorized_official_last_name": "FLOYD",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "ACCOUNTING COORDINATOR",
"authorized_official_telephone_number": "603-658-1580",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NH",
"license": "02112",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NH",
"license": "140784",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverwoods at Exeter",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Exeter, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.