Grace House of Windham

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

03498 Issued in NH

Legal business name

GRACE HOUSE OF WINDHAM

Practice address

23 Mammoth Rd
Windham, NH 03087-1773

Phone

(603) 889-1800

Fax

(603) 943-5357

NPI assigned

Dec 10, 2010

Last updated

Dec 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Neil Warren Pike

Title

Manager

Phone

(603) 889-1800

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1346543527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAMMOTH RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871773",
            "telephone_number": "603-889-1800",
            "fax_number": "603-943-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAMMOTH RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871773",
            "telephone_number": "603-889-1800",
            "fax_number": "603-943-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOUSE OF WINDHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-889-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "03498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Githu, RN
• Michael A. Gleason, RN DC
• Danuta M Goroch, DMD
• Jennifer Gosselin, MS OTR L
• Lynn Goulas
• Graceful Health, PLLC
• Matthew Gregoire, DPT
• Nicole Grove, APRN
• Laurie Ann Gulla, MS OTR/L
• Robert Chauncey Haas, RPH

• Assisted Living Facility in Windham, NH
• Providers in Windham, NH by specialty
• Assisted Living Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.