Metro Health Foundation of New Hampshire, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

02632 Issued in NH

Legal business name

METRO HEALTH FOUNDATION OF NEW HAMPSHIRE, INC.

Doing business as

Golden View Health Care Center

Practice address

19 NH Route 104
Meredith, NH 03253-5715

Phone

(603) 279-8111

Fax

(603) 677-4154

NPI assigned

May 23, 2005

Last updated

Jun 25, 2013By 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

Rosemary Simino

Title

Assistant Administrator

Phone

(603) 279-8111

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Golden View Health Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528061710. Details of each certification follow.

• CCN 305044A Skilled nursing facility · Details

Skilled nursing facility certification: CCN 305044A

Legal name

METRO HEALTH FOUNDATION OF NEW HAMPSHIRE, INC.

Doing business as

GOLDEN VIEW HEALTH CARE CENTER

Organization structure

CorporationNon-profit

Incorporated

Jul 20, 1998 in NH

Enrollment address

19 NH Route 104
Meredith, NH 03253-5715

Nursing home name

GOLDEN VIEW HEALTH CARE CENTER

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

CLIA laboratory certificates

All disclosed owners & managing parties 14

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

Owners & managing parties with NPI records 2

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

• Ephrem Medical Services, LLC

  • Internal Medicine Physician
  • Laconia, NH
  • NPI 1326408709

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Vercin S Ephrem, MD

  • Internal Medicine Physician
  • Laconia, NH
  • NPI 1366468928

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Vercin S Ephrem, MD

  • Internal Medicine Physician
  • Laconia, NH
  • NPI 1366468928
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1528061710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 NH ROUTE 104",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032535715",
            "telephone_number": "603-279-8111",
            "fax_number": "603-279-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 NH ROUTE 104",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032535715",
            "telephone_number": "603-279-8111",
            "fax_number": "603-677-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO HEALTH FOUNDATION OF NEW HAMPSHIRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "SIMINO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "603-279-8111"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "02734",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "02632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076977",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden View Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen a. Booth, Aprn, P.C.
• Maxi Drug North Inc (Rite Aid Pharmacy 10281)
• Jennifer McMaugh, DPT
• Meredith Bay Physical Therapy
• Meredith Senior Housing I Opco, LLC (Forestview Manor)
• Joseph A Misiewicz, M.D.
• Graham D Moneysmith, D.C.
• Martha J Moorehead, APRN
• Colleen A Nolan, ARNP
• Olden Days Family Medicine LLC

• Skilled Nursing Facility in Meredith, NH
• Providers in Meredith, NH by specialty
• Skilled Nursing Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.