Active NPI
County of Hillsborough
- Nursing Facility/Intermediate Care Facility
- Goffstown, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 00640
- Legal business name
- COUNTY OF HILLSBOROUGH
- Practice address
- 400 Mast Rd
Goffstown, NH 03045-2427 - Phone
- (603) 627-5540
- Fax
- (603) 627-5547
- NPI assigned
- Jul 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bruce C Moorehead, NHA
- Title
- Administrator
- Phone
- (603) 627-5540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 00640 | NH | Primary |
Addresses
Primary practice location
400 Mast Rd
Goffstown, NH 03045-2427
Mailing address
400 Mast Rd
Goffstown, NH 03045-2427
Phone (603) 627-5540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83016930 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070316000148 | NH | Part A Provider - Skilled Nursing Facility | 2264535087 | Practice locations: Goffstown, NH |
Skilled nursing facility certification: CCN 305048
- Legal name
- COUNTY OF HILLSBOROUGH
- Doing business as
- MAS MEDICAL STAFFING
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1995
- Last certification
- Apr 3, 2025
- Beds
- 300
- Ownership / control type
- County
- Organization structure
- Government
- Enrollment address
- 400 Mast Rd
Goffstown, NH 03045-2427 - Nursing home name
- HILLSBOROUGH COUNTY NURSING HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Hillsborough County Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - County
- Certified
- Jul 1, 1995
- Medicare certification status
- Active
- Certified beds
- 300
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D0705278 | Hillsborough County Nursing Home | Certificate of waiver | Nov 22, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 26
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Steven Ciminesi | Operational/Managerial Control | Dec 30, 2019 | |
| Adp of the SNF | Dec 30, 2019 | ||
| David J Ross | Operational/Managerial Control | Oct 30, 2017 | |
| Adp of the SNF | Oct 30, 2017 | ||
| Zubin Batlivala | Operational/Managerial Control | Aug 4, 2009 | |
| Adp of the SNF | Aug 4, 2009 | ||
| Amergis Healthcare Staffing, Inc | Adp of the SNF | Jul 1, 2024 | |
| Christopher Bennett | Operational/Managerial Control | Jul 19, 2006 | |
| Adp of the SNF | Jul 19, 2006 | ||
| Ronda Richardson | Operational/Managerial Control | Nov 16, 2020 | |
| Adp of the SNF | Nov 16, 2020 | ||
| County of Hillsborough | 5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| 5% Or Greater Security Interest | Apr 1, 1977 | 100% | |
| Operational/Managerial Control | Apr 1, 1977 | ||
| Adp of the SNF | Apr 1, 1977 | ||
| Lisa Tash | Operational/Managerial Control | Oct 17, 2016 | |
| Adp of the SNF | Oct 17, 2016 | ||
| Antonie Pappas | Managing Control - Governing Body | Jan 3, 2001 | |
| Adp of the SNF | Jan 3, 2001 | ||
| Fusion Medical Staffing LLC | Adp of the SNF | Jul 1, 2024 | |
| Phyllis Burt | Operational/Managerial Control | Oct 22, 2006 | |
| Adp of the SNF | Oct 22, 2006 | ||
| Heidi Snook | Operational/Managerial Control | Jul 29, 2024 | |
| Adp of the SNF | Jul 29, 2024 | ||
| Linda Lazzar | Operational/Managerial Control | May 12, 2019 | |
| Adp of the SNF | May 12, 2019 | ||
| Michael Soucy | Operational/Managerial Control | Jan 6, 2021 | |
| Managing Control - Governing Body | Jan 6, 2021 | ||
| Adp of the SNF | Jan 6, 2021 | ||
| Mecare Staffing | Adp of the SNF | Jul 1, 2025 | |
| Adp of the SNF | Jun 26, 2025 | ||
| Kathy Holt | Operational/Managerial Control | May 26, 2019 | |
| Adp of the SNF | May 26, 2019 | ||
| Geoffrey McAllister | Operational/Managerial Control | Apr 4, 2022 | |
| Adp of the SNF | Apr 4, 2022 | ||
| Tonya Dubois | Operational/Managerial Control | Mar 10, 2011 | |
| Adp of the SNF | Mar 10, 2011 | ||
| Vachon & Clukay & Co, PC | Operational/Managerial Control | Jul 1, 2018 | |
| Adp of the SNF | Jun 26, 2025 | ||
| Sheryl Ramsay | Operational/Managerial Control | Nov 29, 2005 | |
| Adp of the SNF | Nov 29, 2005 | ||
| Paula Adams | Operational/Managerial Control | Feb 28, 2016 | |
| Adp of the SNF | Feb 28, 2016 | ||
| Robert Rowe | Operational/Managerial Control | Jun 2, 2016 | |
| Managing Control - Governing Body | Jun 2, 2016 | ||
| Adp of the SNF | Jun 2, 2016 | ||
| Rachel Locke | Operational/Managerial Control | Jan 12, 2025 | |
| Adp of the SNF | Jan 12, 2025 | ||
| Mas Medical Staffing LLC | Adp of the SNF | Dec 12, 2006 | |
| Patrick Grady | Operational/Managerial Control | Jun 1, 2023 | |
| Adp of the SNF | Jun 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bedford, NH
- NPI 1710971957
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Nursing Facility/Intermediate Care Facility
- Berlin, NH
- NPI 1659377869
Vachon & Clukay & Co, PC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bedford, NH
- NPI 1710971957
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bedford, NH
- NPI 1710971957
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418342400000",
"number": "1841290939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MAST RD",
"city": "GOFFSTOWN",
"state": "NH",
"postal_code": "030452427",
"telephone_number": "603-627-5540",
"fax_number": "603-627-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MAST RD",
"city": "GOFFSTOWN",
"state": "NH",
"postal_code": "030452427",
"telephone_number": "603-627-5540",
"fax_number": "603-627-5547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF HILLSBOROUGH",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-29",
"last_updated": "2014-12-12",
"status": "A",
"authorized_official_last_name": "MOOREHEAD",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "603-627-5540",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NH",
"license": "00640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83016930",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goffstown, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.