Visiting Nurse Home Care & Hospice of Carroll County

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

02737 Issued in NH

Legal business name

VISITING NURSE HOME CARE & HOSPICE OF CARROLL COUNTY

Practice address

1529 White Mountain Highway
North Conway, NH 03860-5355

Phone

(603) 356-7006

Fax

(603) 356-8134

NPI assigned

Jun 3, 2006

Last updated

Sep 3, 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

Ms. Kathy A Flaherty, R.N.

Title

Hospice Administrator

Phone

(603) 356-7006

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720026511. Details of each certification follow.

• CCN 301520 Hospice · Active · Details

Hospice certification: CCN 301520

Legal name

VISITING NURSE HOME CARE & HOSPICE OF CARROLL COUNTY

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 15, 1995

Last certification

May 5, 2022

Ownership / control type

Other

Organization structure

CorporationNon-profit

Incorporated

Nov 15, 1977 in NH

Enrollment address

1529 White Mountain Hwy
North Conway, NH 03860-5156

Other NPIs with the same Medicare PAC ID 1

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

• Visiting Nurse Home Care & Hospice of Carroll County

  • Home Health Agency
  • North Conway, NH
  • NPI 1649222357

  2860528650

  Same PAC ID

Listed as

Visiting Nurse Home Care&Hospice of Carroll CountyCCN 301520 · All quality measures

Ownership

Non-Profit

Certified

Aug 15, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Visiting Nurse Home Care Hospice of Carroll County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Visiting Nurse Home Care & Hospice of Carroll County

  • Home Health Agency
  • North Conway, NH
  • NPI 1649222357
  NPD tax ID

Locations

All disclosed owners & managing parties 13

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 3

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

• Rachel Rebecca Hamilton, D.O

  • Family Medicine Physician
  • North Conway, NH
  • NPI 1053549394

  Contracted Managing Employee

  CMS ownership
• Nancy Lohmiller, LICSW

  • Clinical Social Worker
  • Center Conway, NH
  • NPI 1093025835

  Corporate Director

  CMS ownership
• Kimberly Dawn Desanctis

  • Family Nurse Practitioner
  • Rangeley, ME
  • NPI 1932614161

  W-2 Managing Employee

  CMS ownership

Practitioners 2

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.

• Ellen Douglas Jessop, APRN

  • Adult Health Nurse Practitioner
  • Rochester, NH
  • NPI 1932466620
  NPD (past)
• Julie Kaye Limmer, APRN

  • Family Nurse Practitioner
  • Gorham, NH
  • NPI 1790446664

  Hospice and Palliative Medicine

  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael Angus Badger, M.D.

  • Family Medicine Physician
  • North Conway, NH
  • NPI 1053399048

  Hospice

  Care Compare affiliation
• Rachel Rebecca Hamilton, D.O

  • Family Medicine Physician
  • North Conway, NH
  • NPI 1053549394

  Hospice

  Care Compare affiliation
• Raymond H. Rabideau, M.D.

  • Family Medicine Physician
  • North Conway, NH
  • NPI 1023096120

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1720026511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038600432",
            "telephone_number": "603-356-7006",
            "fax_number": "603-356-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 WHITE MOUNTAIN HIGHWAY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605355",
            "telephone_number": "603-356-7006",
            "fax_number": "603-356-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE HOME CARE & HOSPICE OF CARROLL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "FLAHERTY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "HOSPICE ADMINISTRATOR",
        "authorized_official_telephone_number": "603-356-7006",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NH",
            "license": "02737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "301520",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HOSPICE PROVIDER#",
            "identifier": "301520",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Vanderveer, CNM
• Mary A. Vigeant, ARNP
• Kathryn Susan Villarevia, FNP
• Tara Elizabeth Violette, RPH
• Visiting Nurse Home Care & Hospice of Carroll County
• Jessica R Vittorelli, DO
• Marion C Wachnicki, DMD
• Phyllis Weaver Wagstaff, DMD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2140)
• Wal-Mart Stores East, LP (Vision Center 30-2140)

• Community Based Hospice Care Agency in North Conway, NH
• Providers in North Conway, NH by specialty
• Community Based Hospice Care Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.