Healthcare Provider Details

I. General information

NPI: 1295522977
Provider Name (Legal Business Name): GRACEFUL HANDS COMMUNITY GHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 FISHERVILLE RD STE 2
CONCORD NH
03303-1003
US

IV. Provider business mailing address

108 FISHERVILLE RD STE 2
CONCORD NH
03303-1003
US

V. Phone/Fax

Practice location:
  • Phone: 603-219-6813
  • Fax:
Mailing address:
  • Phone: 603-219-6813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: THOMAS SARGBA SAYSAW
Title or Position: PRESIDENT
Credential:
Phone: 603-219-6813