SAINT JOSEPH RESIDENCE (NPI# 1396724795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396724795 |
| Entity Type | Organization |
| Organization Name | SAINT JOSEPH RESIDENCE |
| Practice Address |
495 Mammoth Rd Manchester NH 03104-5463 |
| Practice Telephone | 6036686011 |
| Practice Fax Number | 6036441276 |
| Mailing Telephone | 6036686011 |
| Mailing Fax Number | 6036441276 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | MARLENE MAKOWSKI (ADMINISTRATOR) |
| Authorized Official Telephone | 6036686011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 02470 | NH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3077269 | 05 |
| Street Address |
495 MAMMOTH RD |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-5463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961508 | Julia Machado | Occupational Therapist | 495 Mammoth Rd, Manchester, NH 03104-5463 | 2020-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1538467717 | Health Services Manchester, LLC | Skilled Nursing Facility | 811 Keylon Street, Manchester, TN 37355-2419 | 2011-03-11 |
| 1558594374 | Esther Hottentot | Skilled Nursing Facility | 235 Myrtle Street, Manchester, NH 03104 | 2009-08-27 |
| 1790843100 | Bidwell Care Center LLC | Skilled Nursing Facility | 333 Bidwell St, Manchester, CT 06040-6469 | 2006-12-05 |
| 1568520963 | Westside Care Center LLC | Skilled Nursing Facility | 349 Bidwell Street, Manchester, CT 06040 | 2006-12-05 |
| 1336151547 | Manchester Health Center, Inc | Skilled Nursing Facility | 565 Vernon St, Manchester, CT 06042-2409 | 2006-08-13 |
| 1053346668 | Cfn Manchester-center LLC | Skilled Nursing Facility | 198 Pearl St, Manchester, NH 03104-4357 | 2006-07-11 |
| 1114952728 | Cfn Manchester East LLC | Skilled Nursing Facility | 1276 Hanover St, Manchester, NH 03104-5623 | 2006-07-11 |
| 1659301869 | Good Neighbor Society | Skilled Nursing Facility | 105 Mccarren Drive, Manchester, IA 52057-1835 | 2006-07-04 |
| 1114964905 | Kentucky Medical Investors, LLC | Skilled Nursing Facility | 1033 N Highway 11, Manchester, KY 40962-5478 | 2006-06-01 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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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.