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CAPITAL REGION GENESIS ELDERCARE LLC NPI 1225085434


NPI Information

NPI: 1225085434
Provider Name: CAPITAL REGION GENESIS ELDERCARE LLC

Doing Business As: GRANITE LEDGES OF CONCORD

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

CLIA Number: 30D1005036

Address:
151 LANGLEY PKWY
CONCORD, NH
ZIP 03301
Phone: (603) 224-0777
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CAPITAL REGION GENESIS ELDERCARE LLC is an assisted living facility in Concord, 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. CAPITAL REGION GENESIS ELDERCARE LLC NPI is 1225085434. The provider is registered as an organization entity type.
The provider Is Doing Business As Granite Ledges Of Concord.

The provider's business location address is:

151 LANGLEY PKWY
CONCORD, NH
ZIP 03301-533
Phone: (603) 224-0777
Fax: (603) 226-7474

The provider's authorized official is Jane Dropeskey .
The authorized official title is Corporate Manage and has the following contact phone number (610) 925-4231.

The CLIA number assigned to this NPI record is 30D1005036 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 11/11/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility02698NEW 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: 4/28/2024

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