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NIC 15 PINE ROCK MANOR LEASING LLC NPI 1518383710


NPI Information

NPI: 1518383710
Provider Name: NIC 15 PINE ROCK MANOR LEASING LLC

Doing Business As: PINE ROCK MANOR

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 30D1001142

Address:
3 DENNY HILL RD
WARNER, NH
ZIP 03278
Phone: (603) 456-3181
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NIC 15 PINE ROCK MANOR LEASING LLC is an assisted living facility in Warner, NH. The provider is 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. NIC 15 PINE ROCK MANOR LEASING LLC NPI is 1518383710. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine Rock Manor.

The provider's business location address is:

3 DENNY HILL RD
WARNER, NH
ZIP 03278-505
Phone: (603) 456-3181

The provider's authorized official is Paul Boethel .
The authorized official title is Ceo and has the following contact phone number (469) 304-5033.

The CLIA number assigned to this NPI record is 30D1001142 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2014 and was last updated on 3/26/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility02876NEW HAMPSHIREYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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