NPIMap

Organization Active NPI

Neuro Rehab Associates, Inc

Doing business as Northeast Rehabilitation Health Network

  • Rehabilitation Hospital
  • Salem, NH
National Provider Identifier
1255354288
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
02362 Issued in NH
Legal business name
NEURO REHAB ASSOCIATES, INC
Doing business as
Northeast Rehabilitation Health Network
Northeast Rehabilitation Hospital Network
Practice address
70 Butler Street
Salem, NH 03079-3925
Phone
(603) 893-2900
Fax
(603) 898-1372
NPI assigned
Jul 25, 2006
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Mr. Charles Champagne
Title
Chief Financial Officer
Phone
(603) 890-3002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 02362 NH Primary

Addresses

Primary practice location

70 Butler Street
Salem, NH 03079-3925

Mailing address

70 Butler Street
Salem, NH 03079-3925
Phone (603) 893-2900

Other identifiers 13

IdentifierTypeStateIssuer
303026OtherNHNEW HAMPSHIRE BX
5000031OtherNHUNITED HEALTHCARE INP
5004003OtherNHUNITED HEALTHCARE OPD
903109OtherNHTUFTS HEALTH PLAN OPD
2230302601OtherNHMASS BC& BS
7201605MedicaidMA
986847OtherNHNETWORK HEALTH
80303026MedicaidNH
900966OtherNHTUFTS HEALTH PLAN INP
22626OtherNHFALLON HEALTH PLAN OPD
902904OtherNHHPHC INPATIENT
902904OtherNHHPHC OUTPATIENT
42098OtherNHFALLON HEALTH PLAN

Other names 2

  • NORTHEAST REHABILITATION HEALTH NETWORK Doing business as
  • NORTHEAST REHABILITATION HOSPITAL NETWORK Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050823000496 NH Part A Provider - Hospital 1951219799 Practice locations: Salem, NH; Windham, NH; Tewksbury, MA; Portsmouth, NH; Plaistow, NH; North Andover, MA; Newburyport, MA; Nashua, NH…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255354288. Details of each certification follow.

Hospital certification: CCN 303026

Legal name
NEURO REHAB ASSOCIATES, INC
Doing business as
NORTHEAST REHABILITATION HOSPITAL NETWORK
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Dec 13, 1984
Last certification
Apr 18, 2019
Beds
135
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
May 2, 1983 in NH
Enrollment address
70 Butler St
Salem, NH 30793925
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Northeast Rehabilitation HospitalCCN 303026 · All quality measures
Ownership
For profit
Certified
Dec 13, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations (25 of 26)

138 Haverhill St
Unit Ii
Andover, MA 01810
Phone (978) 475-2830

600 Cummings Ctr
Ste 124B
Beverly, MA 01915
Phone (978) 922-4227

600 Cummings Ctr
Ste 269X
Beverly, MA 01915
Phone (978) 922-4227

1 Olde North Rd
Chelmsford, MA 01824
Phone (978) 256-6865

1 Olde North Rd
Ste 202
Chelmsford, MA 01824
Phone (978) 256-6865

1 Merrimack St
Ste 210
Haverhill, MA 01830
Phone (978) 521-9460

1 Parkway
#401
Haverhill, MA 01830
Phone (978) 521-1275

62 Brown St
Ste 506
Haverhill, MA 01830
Phone (978) 722-7897

101 Amesbury St
Ste 301
Lawrence, MA 01840
Phone (978) 975-0395

354 Merrimack St
Lawrence, MA 01843
Phone (978) 688-3898

10 George St
#320
Lowell, MA 01852
Phone (978) 452-1776

10 George St
Ste 310
Lowell, MA 01852
Phone (978) 452-1776

147 Pelham St
Ste 4
Methuen, MA 01844

386 Merrimack St
Ste 2D
Methuen, MA 01844
Phone (978) 965-5089

260 Merrimac St
Ste 1
Newburyport, MA 01950
Phone (978) 465-2592

220 Sutton St
Ste 6
North Andover, MA 01845
Phone (978) 682-7009

3 Woodland Rd
Ste 311
Stoneham, MA 02180
Phone (781) 665-2304

270 W Cummings Park
Woburn, MA 01801
Phone (781) 938-6151

1F Commons Dr
Unit 38
Londonderry, NH 03053
Phone (603) 432-2969

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

29 Northwest Blvd
Nashua, NH 03063
Phone (603) 577-2273

98 Spit Brook Rd
Nashua, NH 03062
Phone (603) 891-3000

18 Bridge St
Salem, NH 03079
Phone (603) 893-2900

29 Stiles Rd
Ste 203
Salem, NH 03079
Phone (603) 893-2889

125 Indian Rock Rd
Unit 5
Windham, NH 03087
Phone (603) 432-9662

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Juliane Gardner Spencer Individual Corporate DirectorTrustee Jun 1, 2013 8%
The Howard Gardner 2012 Irrevocable Trust Fbo Meredith Gardner Rubenza Organization, Gloucester, MA Created for acquisition 5% Or Greater Direct Ownership Interest Jun 1, 2013 8%
Lowell J Rosman 2012 Trust Organization, Andover, MA Created for acquisition 5% Or Greater Direct Ownership Interest Jun 1, 2013 10.03%
The Lola Maria Grillo Dynasty Trust of 2012 Organization, Manchester, NH Created for acquisition 5% Or Greater Direct Ownership Interest Jun 1, 2013 12%
Lola Grillo Individual Corporate DirectorTrustee Jun 1, 2013 12%
The Marion L.Grillo Revocable Trust of 2019 Organization, Windham, NH Created for acquisition 5% Or Greater Direct Ownership Interest Dec 30, 2019 8.84%
Alexandra Gardner Fern Individual Corporate DirectorTrustee Jun 1, 2013 8%
Timothy P Young Individual Corporate OfficerChief Medical Officer Jul 1, 2022
Stephanie Gardner Ginsberg Individual Corporate DirectorTrustee Jun 1, 2013 8%
Marion Grillo Individual Corporate DirectorTrustee Dec 30, 2019 8.84%
The Howard Gardner 2012 Irrevocable Trust Fbo Stephanie Gardner Ginsbu Organization, Gloucester, MA Created for acquisition 5% Or Greater Direct Ownership Interest Jun 1, 2013 8%
James Edward Grillo Individual Corporate DirectorTrustee Jun 1, 2013 12%
The Howard Gardner 2012 Irrevocable Trust Fbo Juliane Gardner Spencer Organization, Gloucester, MA Created for acquisition 5% Or Greater Direct Ownership Interest Jun 1, 2013 8%
The Howard Gardner 2012 Irrevocable Trust Fbo Alexandra Gardner Fern Organization, Gloucester, MA Created for acquisition 5% Or Greater Direct Ownership Interest Jun 1, 2013 8%
Charles Champagne Individual Corporate OfficerCeo Jun 1, 2023 100%
W-2 Managing EmployeeCeo Jun 1, 2023 100%
Jane Rosman Individual Corporate DirectorTrustee Jun 1, 2013 10.03%
The James Edward Grillo Dynasty Trust of 2012 Organization, Manchester, NH Created for acquisition 5% Or Greater Direct Ownership Interest Jun 1, 2013 12%
Meredith Gardner Rubenzahl Individual Corporate DirectorTrustee Jun 1, 2013 8%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 60

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.

View all 60

Affiliated clinicians 340

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

View all 340

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1255354288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BUTLER STREET",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793925",
            "telephone_number": "603-893-2900",
            "fax_number": "603-898-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BUTLER STREET",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793925",
            "telephone_number": "603-893-2900",
            "fax_number": "603-898-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO REHAB ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "603-890-3002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NH",
            "license": "02362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW HAMPSHIRE BX",
            "identifier": "303026",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE INP",
            "identifier": "5000031",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OPD",
            "identifier": "5004003",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN OPD",
            "identifier": "903109",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BC& BS",
            "identifier": "2230302601",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7201605",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "986847",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80303026",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN INP",
            "identifier": "900966",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH PLAN OPD",
            "identifier": "22626",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC INPATIENT",
            "identifier": "902904",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC OUTPATIENT",
            "identifier": "902904",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH PLAN",
            "identifier": "42098",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NORTHEAST REHABILITATION HEALTH NETWORK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHEAST REHABILITATION HOSPITAL NETWORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.