Organization Active NPI

North Country Home Health & Hospice Agency, Inc

  • Community Based Hospice Care Agency
  • Littleton, NH
National Provider Identifier
1548336498
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY, INC
Practice address
536 Cottage St
Littleton, NH 03561-4120
Phone
(603) 444-5317
Fax
(603) 444-0980
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Ms. Elaine Bussey, RN, MS
Title
Executive Director
Phone
(603) 444-5317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

536 Cottage St
Littleton, NH 03561-4120

Mailing address

536 Cottage St
Littleton, NH 03561-4120
Phone (603) 444-5317

Other names 1

  • Hospice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071023000185 NH Part A Provider - Hospice 0042302820 Practice locations: Littleton, NH

Hospice certification: CCN 301518

Legal name
NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 20, 1994
Last certification
Nov 5, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Enrollment address
536 Cottage St
Littleton, NH 03561-4120

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
North Country Home Health & Hospice AgencyCCN 301518 ยท All quality measures
Ownership
Other
Certified
Sep 20, 1994
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
North Country Home Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Chad Stearns Individual Corporate DirectorNchhha Board Treasurer Jan 11, 2022
Thomas P Mee Individual Corporate OfficerNCH Ceo Mar 1, 2019
Corporate DirectorNCH Ceo Mar 1, 2019
Suzanne Louise Landry Individual Corporate OfficerNCH VP Compliance & Risk Oct 1, 2021
W-2 Managing EmployeeNCH VP Compliance & Risk Oct 1, 2021
Operational/Managerial ControlNCH VP Compliance & Risk Oct 1, 2021
Holly a McCormack Individual Corporate DirectorNchhha Board Member Jan 11, 2022
Darrell Bodnar Individual Corporate DirectorNchhha Board Member Apr 8, 2021
Christopher St.Cyr Individual Corporate DirectorNchhha Board Member Jan 16, 2025
Joseph J Bujeaud Individual Corporate DirectorNchhha Board Member Feb 11, 2022
Julie Cote Individual Corporate DirectorNchhha Board Member Aug 23, 2023
Roxie Severance Individual Corporate DirectorNchhha Board Chair Jan 11, 2022
Kimberly Force Individual Corporate DirectorNchhha Board Member Jan 11, 2022
Heather Newfield Individual Corporate DirectorNchhha Board Member May 1, 2023
Jessica Foster-Hebert Individual Corporate OfficerInterim President &Ceo Aug 25, 2022
Corporate DirectorInterim President & Ceo Aug 25, 2022
W-2 Managing EmployeeInterim President & Ceo Aug 25, 2022
Gregory Eastman Individual Corporate DirectorNchhha Board Member Jan 21, 2022
Chrisara a Smith Individual Corporate DirectorNchhha Board Secretary Jan 25, 2022
Matthew John Streeter Individual Corporate DirectorNCH Cfo Mar 1, 2019
W-2 Managing EmployeeNCH Cfo Mar 1, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1548336498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 COTTAGE ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614120",
            "telephone_number": "603-444-5317",
            "fax_number": "603-444-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 COTTAGE ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614120",
            "telephone_number": "603-444-5317",
            "fax_number": "603-444-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "BUSSEY",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-444-5317",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MS"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.