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HOME HEALTH & HOSPICE CARE
NPI 1386815033
Family Medicine - Hospice and Palliative Medicine in Merrimack, NH

Active since March 20, 2008CLIA 30D0671046 · Waiver
7 EXECUTIVE PARK DR, MERRIMACK, NH 03054(603) 882-2941(603) 423-9378 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2025, Nov 21, 2017 (2 updates tracked since 2017).

About Home Health & Hospice Care NPPES

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

HOME HEALTH & HOSPICE CARE (NPI 1386815033) is a healthcare organization registered as a hospice and palliative medicine in Merrimack, New Hampshire and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Barbara Lafrance, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1386815033
Entity TypeOrganization
Primary Taxonomy207QH0002X
Legal Business NameHOME HEALTH & HOSPICE CARE
Location Address7 EXECUTIVE PARK DRMerrimack, NH 03054-4058
Mailing Address7 Executive Park DriveMerrimack, NH 03054 · (603) 882-2941 · Fax (603) 423-9378
Phone(603) 882-2941
Fax(603) 423-9378
Organization SubpartNo
Authorized OfficialBarbara LafrancePresident/ceo · (603) 882-2941
Enumeration DateMarch 20, 2008
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1386815033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
7 EXECUTIVE PARK DR, Merrimack, NH 03054
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Home Health & Hospice Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Home Health & Hospice Care, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Roxanne Dombrowski, APRN
Nurse Practitioner
NPI 1851700892
7 EXECUTIVE PARK DR
Merrimack, NH 03054
(800) 887-5973
✔ PECOS✔ Accepts MedicareSame address
Kristin Fox, APRN
Nurse Practitioner
NPI 1235480815
7 EXECUTIVE PARK DR
Merrimack, NH 03054
(603) 882-2941
✔ PECOSSame address
Anica Naprta, MD
Family Practice
NPI 1437143369
7 EXECUTIVE PARK DRIVE HOME HEALTH & HOSPICE CARE
Merrimack, NH 03054
(603) 882-2941
✔ PECOSSame address
Kaitlin Bouley, MS, APRN, AGNP-C
Nurse Practitioner
NPI 1396254470
7 EXECUTIVE PARK DR
Merrimack, NH 03054
(603) 882-2941
✔ PECOSSame address
Melissa Gauthier, NP
Nurse Practitioner
NPI 1730481995
41 MALL RD LAHEY HOSPITAL AND MEDICAL CENTER
Burlington, MA 01805
(781) 744-3839
✔ PECOS29 mi
Rebecca Small, MD
Family Practice
NPI 1194720003
550 UNIVERSITY BLVD UH 1501
Indianapolis, IN 46202
(317) 948-0763
✔ PECOS791 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 30D0671046

Home Health And Hospice Care · Merrimack, NH
Active · expires Aug 31, 2028
CLIA Number30D0671046
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorBarbara Lafrance
Laboratory Phone(603) 882-2941
Laboratory LocationHome Health And Hospice Care7 Executive Park Dr, Merrimack, NH 03054
CLIA data matches this NPI record on: Address Phone
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 Home Health & Hospice Care's NPI number?

The NPI number for Home Health & Hospice Care is 1386815033. It was assigned to this organization in the NPPES registry on March 20, 2008.

Where is Home Health & Hospice Care located?

Home Health & Hospice Care is located at 7 Executive Park Dr, Merrimack, NH 03054. The listed phone number is (603) 882-2941.

What is Home Health & Hospice Care's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Home Health & Hospice Care enrolled in Medicare?

Yes. Home Health & Hospice Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Home Health & Hospice Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Home Health & Hospice Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Home Health & Hospice Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D0671046) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Home Health & Hospice Care accept?

Health plans from Anthem Blue Cross and Blue Shield list Home Health & Hospice Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Home Health & Hospice Care was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.