Kendal at Hanover I

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

01775 Issued in NH

Legal business name

KENDAL AT HANOVER I

Practice address

80 Lyme Rd
Hanover, NH 03755-1225

Phone

(603) 643-8900

Fax

(603) 643-7099

NPI assigned

Apr 20, 2017

Last updated

Apr 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent B Edgerton

Title

Cfo

Phone

(603) 643-7004

Specialties & licenses 1

Addresses

Other names 1

• Kendal at Hanover Former legal business name

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1285168898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LYME RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551225",
            "telephone_number": "603-643-8900",
            "fax_number": "603-643-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LYME RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551225",
            "telephone_number": "603-643-8900",
            "fax_number": "603-643-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDAL AT HANOVER I",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "EDGERTON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-643-7004"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "01775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendal at Hanover",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samantha Keller
• Jill M Kelly-Ketay
• Elizabeth Kelsey
• Ann Kemon, RDH
• Kendal at Hanover I
• Grace Prosperi Ketcham, PSYD
• Yusuf Ali Khan, MD
• Nancy Hayes Kilgore, D.MIN.
• Knight Pharmacy Inc (Eastmans Pharmacy)
• Donald Owen Kollisch, MD

• Skilled Nursing Facility in Hanover, NH
• Providers in Hanover, NH by specialty
• Skilled Nursing Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.