NPIMap

Organization Active NPI

State of New Hampshire

Doing business as Glencliff Home

  • Nursing Facility/Intermediate Care Facility
  • Glencliff, NH
National Provider Identifier
1760477764
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
STATE OF NEW HAMPSHIRE
Doing business as
Glencliff Home
Practice address
393 High St
Glencliff, NH 03238-0076
Phone
(603) 989-3111
Fax
(603) 989-3040
NPI assigned
Sep 15, 2005
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF NEW HAMPSHIREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Mr. Louis Todd Bickford, MPA NHA
Title
Administrator
Phone
(603) 989-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH Primary

Addresses

Primary practice location

393 High St
Glencliff, NH 03238-0076

Mailing address

393 High St
PO Box 76
Glencliff, NH 03238-0076
Phone (603) 989-3111

Other identifiers 1

IdentifierTypeStateIssuer
83016951MedicaidNH

Other names 1

  • Glencliff Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0652796Glencliff Home393 High St, Glencliff, NH 03238Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
State of New Hampshire9 organizations share this tax ID, including this one
Part of
State of New Hampshire

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1760477764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 HIGH ST",
            "address_2": "PO BOX 76",
            "city": "GLENCLIFF",
            "state": "NH",
            "postal_code": "032380076",
            "telephone_number": "603-989-3111",
            "fax_number": "603-989-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 HIGH ST",
            "city": "GLENCLIFF",
            "state": "NH",
            "postal_code": "032380076",
            "telephone_number": "603-989-3111",
            "fax_number": "603-989-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW HAMPSHIRE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEW HAMPSHIRE",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "BICKFORD",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-989-3111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83016951",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glencliff Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glencliff, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.