Active NPI
Hanover Hill Health Care Center Services Inc.
Doing business as Hanover Hill Health Care Center
- Nursing Facility/Intermediate Care Facility
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 03562
- Legal business name
- HANOVER HILL HEALTH CARE CENTER SERVICES INC.
- Doing business as
- Hanover Hill Health Care Center
- Practice address
- 700 Hanover St
Manchester, NH 03104-5309 - Phone
- (603) 627-3826
- Fax
- (603) 668-5240
- NPI assigned
- Aug 22, 2006
- Last updated
- Oct 27, 2021
- Organization subpart
- Yes
- Parent organization
- HANOVER HILL NURSING HOME INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori McIntire
- Title
- Administrator
- Phone
- (603) 627-3826
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 00590 | NH | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 03562 | NH | Primary |
| Skilled Nursing Facility | 314000000X | 03562 | NH | |
| Skilled Nursing Facility | 314000000X | 00590 | NH | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 0651830001 | NH |
Addresses
Primary practice location
700 Hanover St
Manchester, NH 03104-5309
Mailing address
700 Hanover St
Manchester, NH 03104-5309
Phone (603) 627-3826
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30597706 | Medicaid | NH | |
| 30107722 | Medicaid | NH | |
| 80305009 | Medicaid | NH |
Other names 1
- Hanover Hill Health Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100211000006 | NH | Part A Provider - Skilled Nursing Facility | 3375686579 | Practice locations: Manchester, NH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1235245390. Details of each certification follow.
Skilled nursing facility certification: CCN 305009
- Legal name
- HANOVER HILL HEALTH CARE CENTER SERVICES INC.
- Doing business as
- HANOVER HILL HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 24, 1970
- Last certification
- Dec 12, 2024
- Beds
- 124
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 15, 2006 in NH
- Enrollment address
- 700 Hanover Street
Manchester, NH 03104-5309 - Nursing home name
- HANOVER HILL HEALTH CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Hanover Hill Health Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 24, 1970
- Medicare certification status
- Active
- Certified beds
- 124
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 30D0085736 | Hanover Hill Health Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Part of
- Hanover Hill
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 |
|---|---|---|---|
| Accordion Healthcare Consulting, LLC | Operational/Managerial Control | Jul 9, 2023 | |
| Adp of the SNF | Aug 4, 2025 | ||
| Masooma Athar | Operational/Managerial Control | Apr 1, 2015 | |
| Adp of the SNF | Aug 4, 2025 | ||
| Silver Stone Investment Management, LLC | Operational/Managerial Control | Sep 1, 2022 | |
| Adp of the SNF | Aug 4, 2025 | ||
| Allison Lee | Limited Partnership Interest | Apr 26, 2016 | 0.5% |
| Operational/Managerial Control | Feb 8, 2016 | ||
| Adp of the SNF | Apr 26, 2016 | ||
| Intelycare Inc | Operational/Managerial Control | Nov 1, 2021 | |
| Adp of the SNF | Aug 4, 2025 | ||
| Medwin Healthcare Staffing | Operational/Managerial Control | Apr 1, 2023 | |
| Adp of the SNF | Aug 4, 2025 | ||
| Wipfli LLP | Operational/Managerial Control | Mar 25, 2006 | |
| Adp of the SNF | Aug 5, 2025 | ||
| Kelia, Inc. | Operational/Managerial Control | Sep 1, 2019 | |
| Adp of the SNF | Aug 4, 2025 | ||
| Theodore J Lee | Limited Partnership Interest | Apr 26, 2016 | 99% |
| Operational/Managerial Control | Dec 15, 2006 | ||
| Adp of the SNF | Apr 26, 2016 | ||
| Omnicare, LLC | Operational/Managerial Control | Jun 1, 2000 | |
| Adp of the SNF | Aug 4, 2025 | ||
| Lori J. McIntire | Corporate Officer | Dec 15, 2006 | |
| Operational/Managerial Control | Dec 15, 2006 | ||
| Adp of the SNF | Jul 28, 2025 | ||
| TJL Properties Management, LLC | Adp of the SNF | Aug 5, 2025 | |
| Elisabeth Lee | Limited Partnership Interest | Apr 26, 2016 | 0.5% |
| Operational/Managerial Control | Apr 26, 2016 | ||
| Adp of the SNF | Apr 26, 2016 | ||
| Megansett Realty, LLC | Adp of the SNF | Aug 5, 2025 | |
| Heather Foster | Operational/Managerial Control | Oct 8, 2023 | |
| Adp of the SNF | Oct 8, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Manchester, NH
- NPI 1053543983
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 65
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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- Skilled Nursing Facility
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Wipfli LLP
-
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- Skilled Nursing Facility
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- NPI 1285060756
Wipfli LLP
-
- Skilled Nursing Facility
- Longmont, CO
- NPI 1679382519
Wipfli LLP
-
dba Woodside Lutheran Home
- Skilled Nursing Facility
- Green Bay, WI
- NPI 1780756890
Wipfli LLP
-
dba Baywood Court Health Center
- Skilled Nursing Facility
- Castro Valley, CA
- NPI 1043489016
Wipfli LLP
-
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- Skilled Nursing Facility
- Onalaska, WI
- NPI 1033102983
Wipfli LLP
-
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- Skilled Nursing Facility
- La Crosse, WI
- NPI 1356334205
Wipfli LLP
-
dba Billings Rehabilitation and Nursing
- Skilled Nursing Facility
- Billings, MT
- NPI 1043903420
Wipfli LLP
-
dba Mt San Antonio Gardens
- Skilled Nursing Facility
- Pomona, CA
- NPI 1609859461
Wipfli LLP
-
dba Rocky Knoll Health Care Center
- Skilled Nursing Facility
- Plymouth, WI
- NPI 1003988049
Wipfli LLP
-
dba Four Winds Manor and Lodge, Inc.
- Skilled Nursing Facility
- Verona, WI
- NPI 1902895592
Wipfli LLP
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Internal Medicine) Physician
- Manchester, NH
- NPI 1053543983
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Manchester, NH
- NPI 1053543983
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635292800000",
"number": "1235245390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 HANOVER ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031045309",
"telephone_number": "603-627-3826",
"fax_number": "603-668-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HANOVER ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031045309",
"telephone_number": "603-627-3826",
"fax_number": "603-668-5240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANOVER HILL HEALTH CARE CENTER SERVICES INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANOVER HILL NURSING HOME INC.",
"enumeration_date": "2006-08-22",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A",
"authorized_official_last_name": "MCINTIRE",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "603-627-3826"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NH",
"license": "00590",
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NH",
"license": "03562",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NH",
"license": "03562",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NH",
"license": "00590",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "NH",
"license": "0651830001",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30597706",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30107722",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80305009",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hanover Hill Health Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hanover Hill Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.