Colonial Poplin Nursing Home Inc.
Organization Active NPI Skilled Nursing Facility · Fremont, NH
NPI 1720179898 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1720179898
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 02393 (NH)
- Legal business name
- COLONIAL POPLIN NURSING HOME INC.
- Practice address
- 442 Main St
Fremont, NH 03044-3434 - Phone
- (603) 895-3126
- Fax
- (603) 895-3662
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Sean Stevenson
- Title
- Authorized Representative
- Phone
- (603) 895-3126
Owners & managing parties with NPI records 1
-
John H Wheeler, DO
Facilities with the same owner 27
Practitioners 1
-
John H Wheeler, DO
Affiliated clinicians 1
-
John H Wheeler, DO
Medicare Care Compare: Nursing home
- Listed as
- Colonial Poplin Nursing Home
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 1, 1999
- Medicare certification status
- Active
- Certified beds
- 50 · 43.9 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D1011286 | Colonial Poplin Nursing Home Inc | Certificate of waiver | Apr 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Skilled nursing facility certification: CCN 305091
- Legal name
- COLONIAL POPLIN NURSING HOME INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1999
- Last certification
- May 8, 2025
- Beds
- 50
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jun 18, 1996 in NH
- Enrollment address
- 442 Main St
Fremont, NH 03044-3434 - Nursing home name
- COLONIAL POPLIN NURSING HOME
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Rausman |
5% Or Greater Indirect Ownership Interest | Sep 12, 2025 | 7% |
| Adp of the SNF | Sep 12, 2025 | ||
| Wetr Trust |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 25% |
| Adp of the SNF | May 1, 2022 | ||
| John Wheeler |
Operational/Managerial Control | Apr 20, 2022 | |
| Adp of the SNF | Jul 10, 2025 | ||
| Avrohom Goldstein |
5% Or Greater Indirect Ownership Interest | Sep 12, 2025 | 10% |
| PR NH Holdings LLC |
Adp of the SNF | Sep 12, 2025 | |
| RNR Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 25% |
| Adp of the SNF | May 1, 2022 | ||
| RR NH Holdings LLC |
Adp of the SNF | Sep 12, 2025 | |
| CPPW Fremont LLC |
Adp of the SNF | Sep 12, 2025 | |
| Sean Stevenson |
Corporate Officer | Sep 12, 2025 | 1% |
| Operational/Managerial Control | Sep 12, 2025 | ||
| Adp of the SNF | Sep 12, 2025 | ||
| Indirect Ownership Interest | Sep 12, 2025 | 1% | |
| Kansas SNF Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 75% |
| Adp of the SNF | Sep 12, 2025 | ||
| Mad Family Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 25% |
| Rarmna Holdings LLC |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 25% |
| Adp of the SNF | May 1, 2022 | ||
| Ratr Trust |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 25% |
| Adp of the SNF | May 1, 2022 | ||
| Natr Trust |
5% Or Greater Indirect Ownership Interest | May 1, 2022 | 25% |
| Adp of the SNF | May 1, 2022 | ||
| Philip Rausman |
5% Or Greater Indirect Ownership Interest | Sep 12, 2025 | 7% |
| Adp of the SNF | Sep 12, 2025 | ||
| 603 Healthcare LLC |
Operational/Managerial Control | Sep 12, 2025 | |
| Adp of the SNF | Dec 23, 2025 | ||
| Kimberly Piper |
Operational/Managerial Control | Jun 14, 2022 | |
| Adp of the SNF | Jul 10, 2025 | ||
| White Oak Healthcare at Fremont Inc |
5% Or Greater Direct Ownership Interest | May 1, 2022 | 100% |
| Wohcp LLC |
Adp of the SNF | Apr 16, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041228000652 | NH | Part a Provider - Skilled Nursing Facility | 4587622261 | Practice locations: Fremont, NH |
National Provider Directory
Locations
442 Main St
Fremont, NH 03044
Phone (603) 895-3126
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 02393 | NH | Yes |
Addresses
Primary practice location
442 Main St
Fremont, NH 03044-3434
Mailing address
2420 Knapp St
Brooklyn, NY 11235-1006
Phone (603) 895-3126
Other providers in Fremont, NH
- Susan L Cassone
- Ryley Jessica Coleman
- Keri Ashley Coy
- Heidi Day
- Annette JW Denise
- April A Desmarais
- Fremont School District
All providers in Fremont, NH · Skilled Nursing Facility in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.