Terrace Communities Hanover, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

02767 Issued in NH

Legal business name

TERRACE COMMUNITIES HANOVER, LLC

Practice address

32 Buck Rd
Hanover, NH 03755-2700

Phone

(603) 643-7290

Fax

(603) 643-2694

NPI assigned

May 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nan Abbot

Title

Executive Director

Phone

(603) 252-6644

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wheelock Terrace Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003029901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BUCK RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "03755",
            "telephone_number": "603-643-7290",
            "fax_number": "603-643-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BUCK RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552700",
            "telephone_number": "603-643-7290",
            "fax_number": "603-643-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE COMMUNITIES HANOVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABBOT",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-252-6644"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "02767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "02767",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheelock Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Storm
• Mitchell Jay Styczynski, OD
• Katie Sullivan, CMHC
• Michael Sun
• Telecrossroads Inc
• Town of Hanover
• Treadwell Counseling, PLLC
• Benjamin M Tretter, MSN, PMH-NP
• Shanna Treworgy, PSYD
• Trustees of Dartmouth College

• Assisted Living Facility in Hanover, NH
• Providers in Hanover, NH by specialty
• Assisted Living Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.