PROVIDENCE HOUSE ELDERCARE SERVICES (NPI# 1962876334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962876334 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HOUSE ELDERCARE SERVICES |
| Practice Address |
25 Main St Rochester NH 03868-8449 |
| Practice Telephone | 2074594521 |
| Mailing Telephone | 2074594521 |
| Enumeration Date | 2015-11-22 |
| Last Update Date | 2015-11-22 |
| Authorized Official Name | MR. ALBERT MUTASCIO (ADMINISTRATOR) |
| Authorized Official Telephone | 6038222386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | 04108 | NH | Respite Care Facility |
| Y | 310400000X | Assisted Living Facility | 04108 | NH | Nursing & Custodial Care Facilities |
| Street Address |
25 MAIN ST |
| City | ROCHESTER |
| State | NH |
| Zip Code | 03868-8449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609938422 | Thomas B Moon | Dentist | 152 Highland St, Rochester, NH 03868 | 2006-12-15 |
| 1942845912 | Jeffrey Gage Boyle | Specialist/Technologist | 564 Salmon Falls Rd, Rochester, NH 03868-5907 | 2019-11-13 |
| 1164821708 | Lifetime Dental Professionals of New Hampshire, P.C. | Dentist | 152 Highland St, Rochester, NH 03868-8507 | 2014-08-20 |
| 1164890166 | Chelsea Mckevitt | Pharmacist | 105 Milton Rd, Rochester, NH 03868-8604 | 2015-09-08 |
| 1932766912 | Katrina Nicole Gilman | Pharmacist | 105 Milton Rd, Rochester, NH 03868-8604 | 2019-05-24 |
| 1982181970 | Matthew Elgin Benn | Pharmacist | 105 Milton Rd, Rochester, NH 03868-8604 | 2018-07-23 |
| 1588798490 | Angela C Bean | Pharmacist | 104 Milton Rd, Rochester, NH 03868-8615 | 2007-03-15 |
| 1174622450 | Maxi Drug North Inc | Durable Medical Equipment & Medical Supplies | 105 Milton Road, Rochester, NH 03868-8615 | 2006-09-22 |
| 1912213547 | Alexander D Pelkey | Pharmacist | 104 Milton Rd, Rochester, NH 03868-8615 | 2010-08-20 |
| 1093834657 | Philip Lee Canter | Pharmacist | 104 Milton Rd, Rochester, NH 03868-8615 | 2007-03-28 |
| Find all providers in zip 03868 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629610431 | Szr Rochester Assisted Living, LLC | Assisted Living Facility | 500 East University Dr, Rochester, MI 48307-7206 | 2019-10-14 |
| 1609328376 | Alf Employer Minnesota, LLC | Assisted Living Facility | 30 Silver Lake Pl Nw, Rochester, MN 55901-3257 | 2016-10-28 |
| 1104192483 | Willows & Waters Senior Living | Assisted Living Facility | 707 Upper Meadow Ln Nw, Rochester, MN 55901-8654 | 2012-03-30 |
| 1720382617 | Kapson Senior Quarters Corp. | Assisted Living Facility | 150 Towngate Rd, Rochester, NY 14626-3019 | 2011-01-06 |
| 1154659712 | Painted Post, LLC | Assisted Living Facility | 1404 Long Pond Rd, Rochester, NY 14626-3732 | 2009-11-19 |
| 1881855344 | Sunrise Senior Living Mangement, Inc. | Assisted Living Facility | 4220 55th St Nw, Rochester, MN 55901-8900 | 2008-06-18 |
| 1497916043 | Grandville Senior Living Community | Assisted Living Facility | 555 Maiden Ln, Rochester, NY 14616-4148 | 2008-06-17 |
| 1558522102 | Rochester Presbyterian Home | Assisted Living Facility | 256 Thurston Rd, Rochester, NY 14619-1544 | 2008-06-17 |
| 1982824702 | Family Service of Rochester | Assisted Living Facility | 399 Colvin St, Rochester, NY 14611-1255 | 2007-04-26 |
| 1538384912 | Extended Family Living/joseph Logsdon | Assisted Living Facility | 606 6th Ave, Rochester, TX 79544-2010 | 2007-04-13 |
| Find all providers in ROCHESTER | ||||
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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.