Vintage Grace
PACE Provider Organization in Derry, New Hampshire
1700902590- Practice location
- 12 Peabody RD, Derry, NH 03038-1838
- Phone
- 603-425-6339
- Fax
- 603-421-9367
- Last updated
- May 29, 2008
Vintage Grace is a healthcare 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 (NH). The current practice location address for Vintage Grace is 12 Peabody RD, Derry, NH 03038-1838 and can be reached out via phone at 603-425-6339 and via fax at 603-421-9367.
Provider Profile Details
- NPI Number
- 1700902590
- Provider Name
- Vintage Grace
- Provider Entity Type
- Organization
- Address
- 12 Peabody RD, Derry, NH 03038-1838
- Phone Number
- 603-425-6339
- Fax Number
- 603-421-9367
- Primary Taxonomy
- PACE Provider Organization · 251T00000X
- Organization Subpart
- No
- Authorized Official
- Amy Bizeur · Director · 603-425-6339
- Provider Enumeration Date
- March 22, 2007
- Last Update Date
- May 29, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Peabody RD
Derry, NH 03038-1838 - City
- Derry
- State
- New Hampshire
- Zip
- 03038-1838
- Phone Number
- 603-425-6339
- Fax Number
- 603-421-9367
Provider Business Mailing Address Details
- Address
- 12 Peabody RD
Derry, NH 03038-1838 - City
- Derry
- State
- NH
- Zip
- 03038-1838
- Phone Number
- 603-425-6339
- Fax Number
- 603-421-9367
License Information
- License Number
- 251T00000X
- License State
- NH
- Taxonomy
- PACE Provider Organization · 251T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Vintage Grace?
The NPI number of Vintage Grace is 1700902590. It was assigned on March 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Vintage Grace?
Vintage Grace is registered under the primary taxonomy PACE Provider Organization (code 251T00000X), licensed in NH under license number 251T00000X.
Where does Vintage Grace practice?
The practice location is 12 Peabody RD, Derry, NH 03038-1838. The office can be reached at 603-425-6339 (phone) or 603-421-9367 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700902590 directly on the NPPES registry website.