Organization Active NPI

GBL Enterprises Inc.

Doing business as The Wellstone House

  • Assisted Living Facility
  • Raymond, NH
National Provider Identifier
1578046454
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
04283 Issued in NH
Legal business name
GBL ENTERPRISES INC.
Doing business as
The Wellstone House
Practice address
125 Langford Rd
Raymond, NH 03077-1710
Phone
(603) 203-3187
Fax
(603) 668-1899
NPI assigned
Sep 7, 2018
Last updated
Sep 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Michael J Bernard
Title
President / Ceo
Phone
(603) 203-3187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 04283 NH Primary

Addresses

Primary practice location

125 Langford Rd
Raymond, NH 03077-1710

Mailing address

126 Fleming St
Manchester, NH 03104-4752
Phone (603) 203-3187

Other names 1

  • The Wellstone House Doing business as

National Provider Directory

National Provider Directory

Locations

125 Langford Rd
Raymond, NH 03077
Phone (603) 895-9303

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1578046454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 FLEMING ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044752",
            "telephone_number": "603-203-3187",
            "fax_number": "603-668-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LANGFORD RD",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030771710",
            "telephone_number": "603-203-3187",
            "fax_number": "603-668-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBL ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "603-203-3187"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "04283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellstone House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raymond, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.