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WENTWORTH HOME
NPI 1174745624
Assisted Living Facility in Dover, NH

Active since May 03, 2007CLIA 30D0871247 · Waiver
795 CENTRAL AVENUE, DOVER, NH 03820(603) 742-7402(603) 749-1013 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wentworth Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENTWORTH HOME (NPI 1174745624) is a healthcare organization registered as an assisted living facility in Dover, New Hampshire and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Andy Galt, President, as its authorized official.

NPPES Registry Identity

NPI1174745624
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWENTWORTH HOME FOR THE AGED
Location Address795 CENTRAL AVENUEDover, NH 03820
Mailing Address795 Central AvenueDover, NH 03820 · (603) 742-7402 · Fax (603) 749-1013
Phone(603) 742-7402
Fax(603) 749-1013
Organization SubpartNo
Authorized OfficialAndy GaltPresident · (603) 742-2053
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174745624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NH · 01532
Definition
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.
795 CENTRAL AVENUE, Dover, NH 03820
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Other Names 1

Doing Business AsWentworth Home

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 30D0871247

Wentworth Home · Dover, NH
Active · expires Aug 31, 2026
CLIA Number30D0871247
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorToni Ring
Laboratory Phone(603) 742-1915
Laboratory LocationWentworth Home795 Central Ave, Dover, NH 03820
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Wentworth Home For The Aged's NPI number?

The NPI number for Wentworth Home For The Aged is 1174745624. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Wentworth Home.

Where is Wentworth Home For The Aged located?

Wentworth Home For The Aged is located at 795 Central Avenue, Dover, NH 03820. The listed phone number is (603) 742-7402.

What is Wentworth Home For The Aged's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Wentworth Home For The Aged hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D0871247) is associated with this NPI, valid through August 31, 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 Wentworth Home For The Aged was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.