Active NPI
More Cowbell LLC
- Skilled Nursing Facility
- Goffstown, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MORE COWBELL LLC
- Practice address
- 29 Center St
Goffstown, NH 03045-2948 - Phone
- (603) 497-4871
- NPI assigned
- Dec 28, 2021
- Last updated
- Dec 28, 2021
- 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
- Nachum Soroka
- Title
- Authorized Official
- Phone
- (347) 677-4412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
29 Center St
Goffstown, NH 03045-2948
Mailing address
29 Center St
Goffstown, NH 03045-2948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220818002992 | NH | Part A Provider - Skilled Nursing Facility | 9335522606 | Practice locations: Goffstown, NH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1376203679. Details of each certification follow.
Skilled nursing facility certification: CCN 305096
- Legal name
- MORE COWBELL LLC
- Doing business as
- GOFFSTOWN NURSING & REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 1, 2003
- Last certification
- Oct 22, 2024
- Beds
- 41
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 29 Center St
Goffstown, NH 03045 - Nursing home name
- GOFFSTOWN NURSING AND REHAB CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Goffstown Nursing and Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 1, 2003
- Medicare certification status
- Active
- Certified beds
- 41
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Joshua Teller | W-2 Managing Employee | Jul 31, 2022 | |
| Nachum Soroka | 5% Or Greater Direct Ownership Interest | Jul 8, 2022 | 100% |
| Corporate Director | Jul 31, 2022 |
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Manchester, NH
- NPI 1720188113
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Manchester, NH
- NPI 1720188113
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640649600000",
"number": "1376203679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 CENTER ST",
"city": "GOFFSTOWN",
"state": "NH",
"postal_code": "030452948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 CENTER ST",
"city": "GOFFSTOWN",
"state": "NH",
"postal_code": "030452948",
"telephone_number": "603-497-4871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORE COWBELL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A",
"authorized_official_last_name": "SOROKA",
"authorized_official_first_name": "NACHUM",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "347-677-4412"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goffstown, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.