Provider Demographics
NPI:1881672095
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:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAQUETTE-HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:603-536-2232
Mailing Address - Street 1:101 BOULDER POINT DR
Mailing Address - Street 2:SUITE 3
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:603-536-2189
Practice Address - Street 1:101 BOULDER POINT DR
Practice Address - Street 2:SUITE 3
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:603-536-2189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02337251E00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH301521OtherBCBS - HOSPICE
NH307031OtherBCBS
NH964OtherCIGNA PROVIDER NUMBER
NH1292OtherCARECENTRIX PROVIDER NUMB
NH30001294Medicaid
NH702242OtherHARVARD PILGRIM
NH80307031Medicaid
NH80307031Medicaid
NH1292OtherCARECENTRIX PROVIDER NUMB