Healthcare Provider Details

I. General information

NPI: 1275536575
Provider Name (Legal Business Name): NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

536 COTTAGE ST
LITTLETON NH
03561-4120
US

IV. Provider business mailing address

536 COTTAGE ST
LITTLETON NH
03561-4120
US

V. Phone/Fax

Practice location:
  • Phone: 603-444-5317
  • Fax: 603-444-0980
Mailing address:
  • Phone: 603-444-5317
  • Fax: 603-444-0980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number02236
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number02236
License Number StateNH

VIII. Authorized Official

Name: SUZANNE L LANDRY
Title or Position: VP COMPLIANCE AND RISK MANAGEMENT
Credential: MBA, CPCO
Phone: 603-326-5608