Inn at Parker Station LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

02612 Issued in NH

Legal business name

INN AT PARKER STATION LLC

Practice address

46 Parker Station Rd
Goffstown, NH 03045-3322

Phone

(603) 497-5300

Fax

(603) 497-5300

NPI assigned

Aug 20, 2015

Last updated

Aug 20, 2015By 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

Mr. Alex Amann

Title

Manager

Phone

(603) 497-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Inn at Parker Station Other name

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1841666146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PARKER STATION RD",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030453322",
            "telephone_number": "603-497-5300",
            "fax_number": "603-497-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PARKER STATION RD",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030453322",
            "telephone_number": "603-497-5300",
            "fax_number": "603-497-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INN AT PARKER STATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "AMANN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-497-5300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "02612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076739",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inn at Parker Station",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Aug 20, 2015; 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.