County of Grafton
NPI 1053319517ActiveOrganization· Skilled Nursing Facility· North Haverhill, NH
Skilled Nursing Facility in North Haverhill, New Hampshire, registered in NPPES in July 2005. The authorized official on file is Dawn L. Jurentkuff, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility and part b supplier - clinic/group practice.
Overview
| NPI | 1053319517 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 8, 2005 |
| Last updated in NPPES | Nov 1, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 00214 | NH |
| General Practice | 208D00000X | 1053319517 | NH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (NH); Part B Supplier - Clinic/Group Practice (NH) |
|---|