Organization Active NPI

County of Rockingham

Doing business as Rockingham County Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Brentwood, NH
National Provider Identifier
1972629582
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
105 Issued in NH
Legal business name
COUNTY OF ROCKINGHAM
Doing business as
Rockingham County Nursing Home
Practice address
117 North Rd
Brentwood, NH 03833-6624
Phone
(603) 679-5335
NPI assigned
Mar 22, 2007
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Charles Nickerson
Title
Director of Finance
Phone
(603) 679-9341

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 2202 NH
Assisted Living Facility 310400000X 02934 NH
Nursing Facility/Intermediate Care Facility 313M00000X 105 NH Primary
Skilled Nursing Facility 314000000X 105 NH
General Practice Physician 208D00000X 105 NH

Addresses

Primary practice location

117 North Rd
Brentwood, NH 03833-6624

Mailing address

117 North Rd
Brentwood, NH 03833-6624
Phone (603) 679-5335

Other identifiers 8

IdentifierTypeStateIssuer
30580934MedicaidNH
30210758MedicaidNH
3071581MedicaidNH
3081044MedicaidNH
3059324MedicaidNH
3076690MedicaidNH
30590933MedicaidNH
49750052MedicaidNH

Other names 1

  • Rockingham County Nursing Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20021030000012 NH Part A Provider - Skilled Nursing Facility 1951219401 Practice locations: Brentwood, NH
O20060309000185 NH Part B Supplier - Clinic/Group Practice 1951219401 Receives reassigned benefits from 1 practitioner
Practice locations: Brentwood, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972629582. Details of each certification follow.

Skilled nursing facility certification: CCN 305046

Legal name
COUNTY OF ROCKINGHAM
Doing business as
ROCKINGHAM COUNTY NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 11, 1995
Last certification
Aug 22, 2024
Beds
226
Ownership / control type
County
Organization structure
GovernmentNon-profit
Enrollment address
117 North Rd
Rockingham County Nursing Home
Brentwood, NH 03833-6624
Nursing home name
ROCKINGHAM COUNTY NURSING HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rockingham County Nursing HomeCCN 305046 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Nov 11, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
226140.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
30D0652762Rockingham County Rehabilitation & Nursing Center117 North Rd, Brentwood, NH 03833Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steven Goddu Individual Managing Control - Governing BodyCounty Commissioner Jan 1, 2023
Adp of the SNF Jan 1, 2023
Kendra a Mayall Individual Operational/Managerial Control Jul 27, 2025
Adp of the SNF Jul 27, 2025
County of Rockingham Organization, Brentwood, NH Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1970 100%
Adp of the SNF Jan 14, 2026
Direct Ownership Interest Jan 1, 1970 100%
Siobhan E Farwell Individual Operational/Managerial Control Jan 27, 2025
Adp of the SNF Jan 27, 2025
Jennifer J Prentice Individual Operational/Managerial Control Sep 11, 2023
Adp of the SNF Sep 11, 2023
Tammy Duffy Individual Corporate OfficerDelegated Official-Dr of Admissions Nov 24, 2021
Operational/Managerial Control Jun 26, 2013
Adp of the SNF Jun 23, 2013
Thomas N Tombarello Individual Managing Control - Governing BodyCounty Commissioner Jan 8, 2025
Adp of the SNF Jan 8, 2025
Alison J Kivikoski Individual Operational/Managerial Control Apr 20, 2015
Adp of the SNF Apr 20, 2015
Richard T Schimpf Individual Operational/Managerial Control Aug 18, 2025
Adp of the SNF Aug 18, 2025
Judith a Gates Individual Operational/Managerial Control Mar 1, 2005
Adp of the SNF Mar 1, 2005
Bruce O Bourbeau Individual Operational/Managerial Control Nov 17, 2025
Adp of the SNF Nov 17, 2025
Chantal Djakonan Individual Operational/Managerial Control Sep 3, 2024
Adp of the SNF Sep 3, 2024
Charles Nickerson Individual Corporate DirectorAuthorized Official-Sr Dir Finance Nov 21, 2021 100%
Operational/Managerial Control Jan 27, 2009
Adp of the SNF Jan 27, 2009
Kathryn Coyle Individual Managing Control - Governing BodyCounty Commissioner Jan 1, 2021
Adp of the SNF Jan 1, 2021
Kristin E Vaughan Individual Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024
Katherine-Ann Masso Individual Operational/Managerial Control Dec 19, 2022
Adp of the SNF Dec 19, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 8

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.

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1972629582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 NORTH RD",
            "city": "BRENTWOOD",
            "state": "NH",
            "postal_code": "038336624",
            "telephone_number": "603-679-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 NORTH RD",
            "city": "BRENTWOOD",
            "state": "NH",
            "postal_code": "038336624",
            "telephone_number": "603-679-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ROCKINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "NICKERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "603-679-9341"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NH",
            "license": "2202",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "02934",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NH",
            "license": "105",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "105",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NH",
            "license": "105",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30580934",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30210758",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071581",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081044",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3059324",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076690",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30590933",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49750052",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockingham County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rockingham County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, NH

Sources for this page

Verify at the official NPI Registry.