PENACOOK ASSISTED LIVING FACILITY, INC
NPI 1053002352
Assisted Living Facility in Penacook, NH
About Penacook Assisted Living Facility, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENACOOK ASSISTED LIVING FACILITY, INC (NPI 1053002352), doing business as John H Whitaker Place, is a healthcare organization registered as an assisted living facility in Penacook, New Hampshire and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Amy Hein, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 30D2273642
Penacook Assisted Living Facility, Inc · Penacook, NHOther Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Penacook Assisted Living Facility, Inc's NPI number?
The NPI number for Penacook Assisted Living Facility, Inc is 1053002352. It was assigned to this organization in the NPPES registry on May 17, 2023. The provider is doing business as John H Whitaker Place.
Where is Penacook Assisted Living Facility, Inc located?
Penacook Assisted Living Facility, Inc is located at 30 Borough Rd, Penacook, NH 03303. The listed phone number is (603) 753-9100.
What is Penacook Assisted Living Facility, Inc's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Penacook Assisted Living Facility, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 30D2273642) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Penacook Assisted Living Facility, Inc was last updated on May 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
