Organization Active NPI

Exeter Healthcare,Inc

  • Skilled Nursing Facility
  • Exeter, NH
National Provider Identifier
1366432858
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
02201 Issued in NH
Legal business name
EXETER HEALTHCARE,INC
Practice address
4 Alumni Dr
Exeter, NH 03833-2118
Phone
(603) 778-1668
Fax
(603) 778-2829
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Donna J. Dole
Title
Office Manager
Phone
(603) 580-7151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 02201 NH Primary

Addresses

Primary practice location

4 Alumni Dr
Exeter, NH 03833-2118

Mailing address

4 Alumni Dr
Exeter, NH 03833-2118
Phone (603) 778-1668

Other identifiers 1

IdentifierTypeStateIssuer
80305019MedicaidNH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1366432858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALUMNI DR",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332118",
            "telephone_number": "603-778-1668",
            "fax_number": "603-778-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ALUMNI DR",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332118",
            "telephone_number": "603-778-1668",
            "fax_number": "603-778-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXETER HEALTHCARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-580-7151"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "02201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80305019",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.