Organization Active NPI

United Church of Christ Retirement Community Inc

Doing business as Havenwood-Heritage Heights

  • Home Health Agency
  • Concord, NH
National Provider Identifier
1184605941
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
01727 Issued in NH
Legal business name
UNITED CHURCH OF CHRIST RETIREMENT COMMUNITY INC
Doing business as
Havenwood-Heritage Heights
Practice address
33 Christian Ave
Concord, NH 03301-6128
Phone
(603) 224-5363
Fax
(603) 229-1188
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Michael A Palmieri
Title
President Ceo
Phone
(603) 229-1144

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 01727 NH Primary
Assisted Living Facility 310400000X 00577 NH
Assisted Living Facility 310400000X 02431 NH
Skilled Nursing Facility 314000000X 00577 NH

Addresses

Primary practice location

33 Christian Ave
Concord, NH 03301-6128

Mailing address

33 Christian Ave
Concord, NH 03301-6128
Phone (603) 224-5363

Other identifiers 1

IdentifierTypeStateIssuer
80305016MedicaidNH

Other names 1

  • Havenwood-Heritage Heights Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000543 NH Part A Provider - Skilled Nursing Facility 6709888902 Practice locations: Concord, NH

Skilled nursing facility certification: CCN 305016

Legal name
UNITED CHURCH OF CHRIST RETIREMENT COMMUNITY INC
Doing business as
HAVENWOOD-HERITAGE HEIGHTS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 8, 1969
Last certification
Mar 13, 2025
Beds
70
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 18, 1966 in NH
Enrollment address
33 Christian Ave
Attention: Jocelyn Sietz
Concord, NH 03301-6128
Nursing home name
HAVENWOOD-HERITAGE HEIGHTS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Havenwood-Heritage HeightsCCN 305016 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 8, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7064.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0086201Havenwood Heritage Heights33 Christian Ave, Concord, NH 03301Certificate of waiverAug 31, 2026
30D0922302Havenwood-Heritage Heights Home Health33 Christian Avenue, Concord, NH 03301Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Havenwood-Heritage Heights2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
New Hampshire Health and Education Facilities Authority Organization, Concord, NH Financial institution 5% Or Greater Mortgage Interest Nov 1, 2013 51%
Douglas Hatfield Individual Corporate Director Apr 30, 2016
Anna Marie Sparks Individual Corporate Director Apr 15, 2012
Tracy J Judd Individual Corporate Officer Apr 23, 2006
Operational/Managerial ControlVP and Cfo Apr 23, 2006
Beth Slepian Individual Corporate OfficerSecretary May 25, 2022
Corporate Director Sep 16, 2017
Leo Van Beaver Individual Corporate Director Apr 15, 2015
Suzanne Weaver Individual W-2 Managing EmployeeNursing Home Administrator Jul 17, 2019
David Gill Individual Corporate OfficerVice Chairperson May 25, 2022
Corporate Director Apr 15, 2021
John Udaloy Individual Corporate OfficerTreasurer May 25, 2022
Corporate Director Apr 15, 2015
Sean Skabo Individual Corporate Director Sep 15, 2022
Gordon Rankin Individual Corporate DirectorEx Officio Voting Member Oct 15, 2018
Citizens Bank NA Organization, Manchester, NH Financial institution 5% Or Greater Mortgage Interest Nov 1, 2013 47%
Michael a Palmieri Individual Corporate OfficerPresident/Ceo Jan 5, 1998
Operational/Managerial ControlPresident/Ceo Jan 5, 1998
Citizens Funding Corporation Organization, Manchester, NH Financial institution 5% Or Greater Mortgage Interest Aug 25, 2016 10%
Lisa Snow Wade Individual Corporate OfficerChairperson May 25, 2022
Corporate Director Apr 6, 2017

Practitioners & affiliated clinicians

Practitioners 1

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": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184605941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CHRISTIAN AVE",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033016128",
            "telephone_number": "603-224-5363",
            "fax_number": "603-229-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CHRISTIAN AVE",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033016128",
            "telephone_number": "603-224-5363",
            "fax_number": "603-229-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CHURCH OF CHRIST RETIREMENT COMMUNITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PALMIERI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "603-229-1144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NH",
            "license": "01727",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "00577",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "02431",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "00577",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80305016",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Havenwood-Heritage Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.