Provider Demographics
NPI:1306006564
Name:G & S ENTERPRISES, LLC
Entity Type:Organization
Organization Name:G & S ENTERPRISES, LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIFFERLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-628-6363
Mailing Address - Street 1:530 CHESTNUT ST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1425
Mailing Address - Country:US
Mailing Address - Phone:603-628-6363
Mailing Address - Fax:603-641-6226
Practice Address - Street 1:530 CHESTNUT ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1425
Practice Address - Country:US
Practice Address - Phone:603-628-6363
Practice Address - Fax:603-641-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02974251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30592614Medicaid