The Villager Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

02221 Issued in NH

Legal business name

THE VILLAGER RETIREMENT HOME

Practice address

50 N Mast St
Goffstown, NH 03045-1712

Phone

(603) 497-4225

Fax

(603) 497-2096

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Lorraine Russo, MHSA

Title

Owner

Phone

(603) 497-4225

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1841470770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N MAST ST",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030451712",
            "telephone_number": "603-497-4225",
            "fax_number": "603-497-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MAST ST",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030451712",
            "telephone_number": "603-497-4225",
            "fax_number": "603-497-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGER RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-497-4225",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "02221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30590805",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Stutzman, D.C.
• Kelly Sweet, OTRS
• James Paul Szlyk, DDS
• Patricia Taylor, PH.D.
• Thandiwe Dhliwayo FNP LLC
• John P. Thomas, MD
• Town of Goffstown
• Sandy Diane Turcotte
• Umbrellacna
• Hossein Vaez, DMD

• Assisted Living Facility in Goffstown, NH
• Providers in Goffstown, NH by specialty
• Assisted Living Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.