OrganizationActive
Vintage Grace
NPI 1700902590 · PACE Provider Organization · Derry, NH
Provider details
- NPI number
- 1700902590
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Amy Bizeur, Director(603) 425-6339
- License
- 251T00000X (NH)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12 Peabody Rd
Derry, NH 03038-1838
Phone: (603) 425-6339
Fax: (603) 421-9367
Street-level locationGet directions
Mailing address
12 Peabody Rd
Derry, NH 03038-1838
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2008-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.