NPIMap

Organization Active NPI

New Hampshire Odd Fellows Home

Doing business as Presidential Oaks

  • Skilled Nursing Facility
  • Concord, NH
National Provider Identifier
1285798090
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1817 Issued in NH
Legal business name
NEW HAMPSHIRE ODD FELLOWS HOME
Doing business as
Presidential Oaks
Practice address
200 Pleasant St
Concord, NH 03301-2505
Phone
(603) 225-6644
Fax
(603) 226-2198
NPI assigned
Dec 19, 2006
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maryann Smith
Title
Director of Finance
Phone
(603) 724-6161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1817 NH Primary
Skilled Nursing Facility 314000000X NU

Addresses

Primary practice location

200 Pleasant St
Concord, NH 03301-2505

Mailing address

200 Pleasant St
Concord, NH 03301-2505
Phone (603) 225-6644

Other identifiers 1

IdentifierTypeStateIssuer
99750047MedicaidNH

Other names 1

  • Presidential Oaks Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other INOVALON Network
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other INOVALON Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030102000008 NH Part A Provider - Skilled Nursing Facility 1456269406 Practice locations: Concord, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285798090. Details of each certification follow.

Skilled nursing facility certification: CCN 305063

Legal name
NEW HAMPSHIRE ODD FELLOWS HOME
Doing business as
PRESIDENTIAL OAKS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1996
Last certification
Oct 30, 2024
Beds
85
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 15, 1883 in NH
Enrollment address
200 Pleasant St
Concord, NH 03301-2505
Nursing home name
PRESIDENTIAL OAKS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Presidential OaksCCN 305063 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8572.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven Woods Individual Corporate OfficerCeo Jun 16, 2025
Adp of the SNF Jun 16, 2025
Individual Adp of the SNF Jan 1, 1999
Individual Adp of the SNF Jan 1, 1999
Sandra Martinson Individual Corporate DirectorTrustee Sep 26, 2018
Managing Control - Governing BodyTrustee Sep 26, 2018
Trustee of the SNF Sep 26, 2018
Sharon Caron Individual Operational/Managerial Control Dec 10, 2009
Adp of the SNF Dec 10, 2009
Ana V Castellanos Individual Operational/Managerial Control Sep 1, 2022
Adp of the SNF Aug 7, 2025
Individual Adp of the SNF Jan 1, 1999
Kathryn Montgomery Individual Corporate DirectorTrustee Sep 30, 2022
Managing Control - Governing BodyTrustee Sep 30, 2022
Trustee of the SNF Sep 30, 2022
Michael Huse Individual Corporate DirectorPresident Sep 26, 2019
Managing Control - Governing BodyPresident Sep 26, 2019
Trustee of the SNF Sep 26, 2019
Individual Adp of the SNF Jan 1, 1999
Kevin Taylor Individual Corporate DirectorTrustee Sep 30, 2023
Managing Control - Governing BodyTrustee Sep 30, 2023
Trustee of the SNF Sep 30, 2023
Wipfli LLP Organization, Bedford, NH Operational/Managerial Control Jan 1, 1999
Adp of the SNF Aug 7, 2025
Brian McGuire Individual Corporate Director Sep 30, 2023
Managing Control - Governing BodyTrustee Sep 30, 2023
Trustee of the SNF Sep 30, 2023
Angela Beamer Individual Operational/Managerial Control May 12, 2025
Adp of the SNF Aug 7, 2025
Sandra Nickerson Individual Corporate DirectorVice President Sep 28, 2022
Managing Control - Governing BodyVice President Sep 28, 2022
Trustee of the SNF Sep 28, 2022
Charles Fanaras Individual Corporate DirectorTrustee Mar 27, 2017
Managing Control - Governing BodyTrustee Mar 27, 2017
Trustee of the SNF Mar 27, 2017
Luciele Gaskill Individual Corporate DirectorSecretary Sep 26, 2018
Managing Control - Governing BodySecretary Sep 26, 2018
Trustee of the SNF Sep 26, 2018
Individual Adp of the SNF Jan 1, 1999
Individual Adp of the SNF Jan 1, 1999
Individual Adp of the SNF Jan 1, 1999

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 65

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 65

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1285798090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012505",
            "telephone_number": "603-225-6644",
            "fax_number": "603-226-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012505",
            "telephone_number": "603-225-6644",
            "fax_number": "603-226-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAMPSHIRE ODD FELLOWS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "603-724-6161"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "1817",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99750047",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "16.840.1.113883.3.667.2",
            "affiliationName": "INOVALON Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD-M eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "16.840.1.113883.3.667.2",
            "affiliationName": "INOVALON Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD-M eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Presidential Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.