WENTWORTH HOME FOR THE AGED (NPI# 1174745624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174745624 |
| Entity Type | Organization |
| Organization Name | WENTWORTH HOME FOR THE AGED |
| Other Organization Name | WENTWORTH HOME |
| Practice Address |
795 Central Avenue Dover NH 03820 |
| Practice Telephone | 6037427402 |
| Practice Fax Number | 6037491013 |
| Mailing Telephone | 6037427402 |
| Mailing Fax Number | 6037491013 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ANDY GALT (PRESIDENT) |
| Authorized Official Telephone | 6037422053 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 01532 | NH | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| WENTWORTH HOME | Doing Business As Name - Organization |
| Street Address |
795 CENTRAL AVENUE |
| City | DOVER |
| State | NH |
| Zip Code | 03820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265830350 | The Inn At Northwood Village | Assisted Living Facility | 5799 N Wooster Avenue Ext Nw, Dover, OH 44622-6400 | 2014-12-05 |
| 1922401488 | Patty's House 4 LLC | Assisted Living Facility | 2805 Jerry Smith Rd, Dover, FL 33527-5449 | 2014-09-29 |
| 1194156489 | Rafael Avecillas | Assisted Living Facility | 2644 Fritzke Rd, Dover, FL 33527-3433 | 2013-12-11 |
| 1366592545 | Emeritus Corporation | Assisted Living Facility | 150 Saulsbury Road, Dover, DE 19904 | 2007-01-11 |
| 1689613523 | Hennis Care Centre of Dover Inc. | Assisted Living Facility | 1720 N Cross St, Dover, OH 44622-1043 | 2006-06-06 |
| 1407803620 | Dover Alf Limited Liability Company | Assisted Living Facility | 1203 Walker Rd, Dover, DE 19904-6541 | 2006-05-31 |
| 1730673674 | Horizon Care Leasing, LLC | Assisted Living Facility | 865 E Iron Ave, Dover, OH 44622-2099 | 2018-06-14 |
| 1174077903 | Dover Aid II Opco LLC | Assisted Living Facility | 1203 Walker Rd, Dover, DE 19904-6541 | 2016-08-10 |
| 1851763718 | State Senior Care, LLC | Assisted Living Facility | 21 N State St, Dover, DE 19901-3802 | 2015-10-30 |
| 1487957650 | 1203 Walker Road Operations LLC | Assisted Living Facility | 1203 Walker Rd, Dover, DE 19904-6541 | 2010-12-10 |
| Find all providers in DOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.