Active NPI
United Church of Christ Retirement Community Inc
Doing business as Havenwood-Heritage Heights
- Home Health Agency
- Concord, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 01727
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80305016 | Medicaid | NH |
Other names 1
- Havenwood-Heritage Heights
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
- Rehabilitation Clinic/Center
- Concord, NH
- NPI 1356912133
6709888902
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Havenwood-Heritage Heights
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 8, 1969
- Medicare certification status
- Active
- Certified beds
- 70
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D0086201 | Havenwood Heritage Heights | Certificate of waiver | Aug 31, 2026 |
| 30D0922302 | Havenwood-Heritage Heights Home Health | Certificate of waiver | Nov 19, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Havenwood-Heritage Heights
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Concord, NH
- NPI 1356912133
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.
| Name | Role | Since | Share |
|---|---|---|---|
| New Hampshire Health and Education Facilities Authority | 5% Or Greater Mortgage Interest | Nov 1, 2013 | 51% |
| Douglas Hatfield | Corporate Director | Apr 30, 2016 | |
| Anna Marie Sparks | Corporate Director | Apr 15, 2012 | |
| Tracy J Judd | Corporate Officer | Apr 23, 2006 | |
| Operational/Managerial Control | Apr 23, 2006 | ||
| Beth Slepian | Corporate Officer | May 25, 2022 | |
| Corporate Director | Sep 16, 2017 | ||
| Leo Van Beaver | Corporate Director | Apr 15, 2015 | |
| Suzanne Weaver | W-2 Managing Employee | Jul 17, 2019 | |
| David Gill | Corporate Officer | May 25, 2022 | |
| Corporate Director | Apr 15, 2021 | ||
| John Udaloy | Corporate Officer | May 25, 2022 | |
| Corporate Director | Apr 15, 2015 | ||
| Sean Skabo | Corporate Director | Sep 15, 2022 | |
| Gordon Rankin | Corporate Director | Oct 15, 2018 | |
| Citizens Bank NA | 5% Or Greater Mortgage Interest | Nov 1, 2013 | 47% |
| Michael a Palmieri | Corporate Officer | Jan 5, 1998 | |
| Operational/Managerial Control | Jan 5, 1998 | ||
| Citizens Funding Corporation | 5% Or Greater Mortgage Interest | Aug 25, 2016 | 10% |
| Lisa Snow Wade | Corporate Officer | 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.
-
- Physical Therapist
- Concord, NH
- NPI 1356389837
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.