NPIMap

Organization Active NPI

St Ann Rehabilitation & Nursing Center

  • Skilled Nursing Facility
  • Dover, NH
National Provider Identifier
1104805613
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
00403 Issued in NH
Legal business name
ST ANN REHABILITATION & NURSING CENTER
Practice address
195 Dover Point Rd
Dover, NH 03820-4612
Phone
(603) 742-2612
Fax
(603) 743-3055
NPI assigned
Jan 12, 2006
Organization subpart
Yes
Parent organization
NEW HAMPSHIRE CATHOLIC CHARITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Mrs. Kathleen McCracken, NHA
Title
Administrator
Phone
(603) 742-2612

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X 00403 NH Primary

Addresses

Primary practice location

195 Dover Point Rd
Dover, NH 03820-4612

Mailing address

195 Dover Point Rd
Dover, NH 03820-4612
Phone (603) 742-2612

Other identifiers 1

IdentifierTypeStateIssuer
99750054MedicaidNH

Other names 1

  • St Ann Healthcare Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030224000025 NH Part A Provider - Skilled Nursing Facility 1951210491 Practice locations: Dover, NH

Skilled nursing facility certification: CCN 305069

Legal name
ST ANN REHABILITATION & NURSING CENTER
Doing business as
ST ANN REHABILIATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1996
Last certification
Jan 29, 2025
Beds
54
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Catholic Charities of New Hampshire
Organization structure
CorporationNon-profit
Incorporated
Mar 7, 1946 in NH
Enrollment address
195 Dover Point Rd
Dover, NH 03820-9147
Nursing home name
SAINT ANN REHABILITATION AND NURSING CENTER
Affiliated entity
CATHOLIC CHARITIES NEW HAMPSHIRE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Saint Ann Rehabilitation and Nursing CenterCCN 305069 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5448.1 residents per day on average
Chain
Catholic Charities New Hampshire6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
NH Catholiccharities Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sarah E Richardson Individual W-2 Managing Employee Oct 18, 2018
Anu Mullikin Individual Corporate DirectorDeputy Vice Chair Oct 1, 2018
Michael J Gilbert Individual Corporate Officer Oct 1, 2018
Thomas Blonski Individual Corporate Director Jul 1, 2006
Peter a Libasci Individual Corporate DirectorChair Oct 1, 2018
Russ Ouellette Individual Corporate Director Oct 1, 2018
Karen a Zirkle Individual W-2 Managing Employee Oct 18, 2018
Tina Legere Individual Corporate Director Oct 1, 2018
John Patenaude Individual Corporate Director Oct 1, 2018
Joseph Raczka Individual Corporate DirectorVice Chair Oct 1, 2018
Kevin Barrett Individual Corporate Officer Oct 1, 2018
Thomas Steinmetz Individual Corporate Director Oct 1, 2018
NH Catholic Charities Inc Organization, Manchester, NH 5% Or Greater Direct Ownership Interest Jan 1, 1990
Operational/Managerial Control Jan 1, 1990
Brian Grip Individual Corporate Director Oct 1, 2018
Robert Gossett Individual Corporate OfficerSecretary Oct 1, 2018
David Z Hildenbrand Individual Corporate OfficerCfo Apr 12, 2017
Richard Hilton Individual Corporate Director Oct 1, 2018
Patricia R Shuster Individual Corporate Director Oct 1, 2018
Edward James Powers Individual Corporate Director Oct 1, 2018
Alain J Bernard Individual Corporate Director Oct 1, 2018
Maria R Ryan Individual Corporate Director Oct 1, 2018
Jamie Coughlin Individual Corporate Officer Oct 1, 2018

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1104805613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 DOVER POINT RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204612",
            "telephone_number": "603-742-2612",
            "fax_number": "603-743-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 DOVER POINT RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204612",
            "telephone_number": "603-742-2612",
            "fax_number": "603-743-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANN REHABILITATION & NURSING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW HAMPSHIRE CATHOLIC CHARITIES",
        "enumeration_date": "2006-01-12",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-742-2612",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "00403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99750054",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Ann Healthcare Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "St Ann Healthcare Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.