Vintage Grace in Derry - Program Of All-inclusive Care For The Elderly (pace) Provider Organization
Vintage Grace - NPI 1700902590
Vintage Grace is a Program Of All-inclusive Care For The Elderly (pace) Provider Organization in Derry, New Hampshire. Vintage Grace practices all healthcare services and medical treatments related to Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The NPI Number for Vintage Grace is 1700902590. The last update date is 2008-05-29.
Vintage Grace's current location address is 12 Peabody Rd, Derry, New Hampshire. You can contact this provider via phone number 6034256339 and fax number 6034219367. The mailing address for Vintage Grace is 12 Peabody Rd, Derry, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vintage Grace |
|---|---|
| Address | 12 Peabody Rd, Derry, New Hampshire |
| Phone Number | 6034256339 |
| Fax Number | 6034219367 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Bizeur Amy |
| Telephone Number | 6034256339 |
NPI Number Detail
| NPI Number | 1700902590 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
| Address | 12 Peabody Rd |
|---|---|
| City | Derry |
| State | New Hampshire (NH) |
| Post Code | 30381838 |
| Phone Number | 6034256339 |
| Fax Number | 6034219367 |
Provider's Primary Taxonomy Detail
| Speciality | Program Of All-inclusive Care For The Elderly (pace) Provider Organization |
|---|---|
| Taxonomy | 251T00000X |
| Licence No | 251T00000X |
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Definition: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30009906 | NH | -- | |
| 30009905 | NH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Vintage Grace by the Centers for Medicare & Medicaid Services?
The Vintage Grace has been assigned the NPI (National Provider Identifier) 1700902590. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Vintage Grace's facilities are geographically located?
The facilities of Vintage Grace are physically situated at the following location: 12 Peabody Rd, Derry, NH, 30381838.
What is the Vintage Grace's area of specialization and corresponding taxonomy classification?
The Vintage Grace's specialty field is Program Of All-inclusive Care For The Elderly (pace) Provider Organization, and it falls under the taxonomy code 251T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700902590 to Vintage Grace?
The Centers for Medicare & Medicaid Services originally issued the 1700902590 to Vintage Grace on 2007-03-22.
When was the information related to Vintage Grace most recently updated or refreshed?
The details pertaining to the Vintage Grace, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-29.