Provider Demographics
NPI:1821685363
Name:PEMI-BAKER HOSPICE & HOME HEALTH
Entity Type:Organization
Organization Name:PEMI-BAKER HOSPICE & HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWCROFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-536-2232
Mailing Address - Street 1:101 BOULDER POINT DR STE 101
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-3170
Mailing Address - Country:US
Mailing Address - Phone:603-536-2232
Mailing Address - Fax:
Practice Address - Street 1:101 BOULDER POINT DR STE 101
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-3170
Practice Address - Country:US
Practice Address - Phone:603-536-2232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-30
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80307031Medicaid
NH964OtherCIGNA
NH1292OtherCARECENTRIX
NH30001294Medicaid
NH307031OtherANTHEM BCBS
NH702242OtherHARVARD PILGRIM