NPIMap

Organization Active NPI

Good Shepherd Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Jaffrey, NH
National Provider Identifier
1972503779
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
01621 Issued in NH
Legal business name
GOOD SHEPHERD REHABILITATION AND NURSING CENTER
Practice address
20 Plantation Dr
Jaffrey, NH 03452-6631
Phone
(603) 532-8762
Fax
(603) 532-6057
NPI assigned
Jul 22, 2005
Organization subpart
Yes
Parent organization
NEW HAMPSHIRE CATHOLIC CHARITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Mrs. Ann E. Nunn, RN, MHA
Title
Administrator
Phone
(603) 532-8762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 01621 NH Primary

Addresses

Primary practice location

20 Plantation Dr
Jaffrey, NH 03452-6631

Mailing address

20 Plantation Dr
Jaffrey, NH 03452-6631
Phone (603) 532-8762

Other identifiers 1

IdentifierTypeStateIssuer
30003252MedicaidNH

Other names 1

  • Good Shepherd Health Care Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
NH Catholiccharities Inc7 organizations share this tax ID, including this one
Part of
NH Catholiccharities Inc

Other organizations with this tax ID 6

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1972503779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PLANTATION DR",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034526631",
            "telephone_number": "603-532-8762",
            "fax_number": "603-532-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PLANTATION DR",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034526631",
            "telephone_number": "603-532-8762",
            "fax_number": "603-532-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD REHABILITATION AND NURSING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW HAMPSHIRE CATHOLIC CHARITIES",
        "enumeration_date": "2005-07-22",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-532-8762",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "01621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003252",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Health Care Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jaffrey, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.