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Vintage Grace
PACE Provider Organization in Derry, New Hampshire
NPI 1700902590

Vintage Grace is a PACE Provider Organization based in Derry, NH. Vintage Grace practices in Derry, NH. The NPI Number for Vintage Grace is 1700902590 and holds a License No. 251T00000X (New Hampshire).

The current practice location address for Vintage Grace is 12 Peabody Rd, Derry, NH and can be reached out via phone at 603-425-6339 and via fax at 603-421-9367.

Location: 12 Peabody Rd, Derry, NH, 03038-1838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700902590
Provider Name
Vintage Grace
Credential
Provider Entity Type
Organization
Address
12 Peabody Rd, Derry, NH, 03038-1838
Phone Number
603-425-6339
Fax Number
603-421-9367
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30009906 05 NH
30009905 05 NH
institution
Provider Business Practice Location Address Details
Address
12 Peabody Rd
City
Derry
State
New Hampshire
Zip
03038-1838
Phone Number
603-425-6339
Fax Number
603-421-9367
person
Provider Business Mailing Address Details
Address
12 Peabody Rd
City
Derry
State
New Hampshire
Zip
03038-1838
Phone Number
603-425-6339
Fax Number
603-421-9367
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
251T00000X
License No.
251T00000X (New Hampshire)
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
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