SALEMHAVEN, INC. (NPI# 1366438491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366438491 |
| Entity Type | Organization |
| Organization Name | SALEMHAVEN, INC. |
| Other Organization Name | SALEMHAVEN NURSING HOME |
| Practice Address |
23 Geremonty Dr Salem NH 03079-3314 |
| Practice Telephone | 6038935586 |
| Practice Fax Number | 6038934394 |
| Mailing Telephone | 6038935586 |
| Mailing Fax Number | 6038934394 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2012-01-12 |
| Authorized Official Name | MR. RAYMOND MILLIARD (ADMINISTRATOR) |
| Authorized Official Telephone | 6038935586 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 02630 | NH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | ANTHEM BC/BS PROV NUMBER | 305058 | 01 |
| MA | BC/BS OF MA PROVIDER # | Z46637901 | 01 |
| NH | 99305036 | 05 |
| Other Name | Type Code |
|---|---|
| Salemhaven Nursing Home | Doing Business As Name - Organization |
| Street Address |
23 GEREMONTY DR |
| City | SALEM |
| State | NH |
| Zip Code | 03079-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726532 | Leah Grace Carroll | Speech-Language Pathologist | 23 Geremonty Dr, Salem, NH 03079-3391 | 2020-10-08 |
| 1356958409 | Christina H Yuu | Occupational Therapist | 23 Geremonty Dr, Salem, NH 03079-3314 | 2020-09-23 |
| 1396227526 | Erika Aiello | Speech-Language Pathologist | 23 Geremonty Dr, Salem, NH 03079-3391 | 2018-09-04 |
| 1902387376 | Katelyn Curley | Occupational Therapist | 23 Geremonty Dr, Salem, NH 03079-3314 | 2018-08-23 |
| 1902387319 | Cody Sullivan | Speech-Language Pathologist | 23 Geremonty Dr, Salem, NH 03079-3314 | 2018-08-23 |
| 1467932475 | Karen Ann Dunn | Physical Therapist | 23 Geremonty Dr, Salem, NH 03079-3314 | 2018-08-19 |
| 1710467279 | Stacey Lynn Marshall | Occupational Therapist | 23 Geremonty Dr, Salem, NH 03079-3314 | 2018-08-15 |
| 1497936108 | Salemhaven Inc | Clinic/Center | 23 Geremonty Dr, Salem, NH 03079-3314 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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| 1518466580 | Continental II Leasing Co., LLC | Skilled Nursing Facility | 230 Continental Drive, Salem, OH 44460 | 2018-02-06 |
| 1447759410 | Continental I Leasing Co., LLC | Skilled Nursing Facility | 250 Continental Drive, Salem, OH 44460 | 2018-02-06 |
| 1063969988 | Set Op Co | Skilled Nursing Facility | 1220 20th St Se, 310, Salem, OR 97302-1205 | 2016-09-08 |
| 1710336672 | Lauren Biamont | Skilled Nursing Facility | 5748 Smoketree Dr Se, Salem, OR 97306-1260 | 2016-06-10 |
| 1659710549 | Taos Nm Senior Living, LLC | Skilled Nursing Facility | 2735 12th St Se, Suite 100, Salem, OR 97302-3186 | 2013-06-24 |
| 1700120292 | Wakefield Care and Rehab Center | Skilled Nursing Facility | 21 Gardner St, Apt 2, Salem, MA 01970-4852 | 2012-11-21 |
| 1669783171 | Genesis Rehab | Skilled Nursing Facility | 2511 Bently Road, Salem, OH 44460 | 2010-06-30 |
| 1992034557 | Salem Healthcare and Rehabilitation Center | Skilled Nursing Facility | 1985 E Pershing St, Salem, OH 44460-3411 | 2009-12-10 |
| 1215071998 | South Salem Rehabilitation, LLC | Skilled Nursing Facility | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2007-02-16 |
| 1730254095 | Helia Healthcare of Salem LLC | Skilled Nursing Facility | 1201 Hawthorn Rd, Salem, IL 62881-1028 | 2006-11-22 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.