30D0666906 CLIA NUMBER - ST TERESAS MANOR

Laboratory Demographics

CLIA Number: 30D0666906

Facility Name: ST TERESAS MANOR

Facility Address:
519 BRIDGE ST
MANCHESTER, NH
ZIP 03104
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Facility Phone Number: 603 668-2373

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1447247325

Taxonomy: 314000000X - 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.

CLIA Record

Field Name	Field Value
CLIA Number	30D0666906
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	ST TERESAS MANOR
Street	519 BRIDGE ST
City	MANCHESTER
State	NH
ZIP	03104
Phone	603 668-2373
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024