St Michael the Archangel Community Living LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ST MICHAEL THE ARCHANGEL COMMUNITY LIVING LLC

Practice address

166 Wellington Terrace Dr
Manchester, NH 03104-4006

Phone

(617) 858-4014

NPI assigned

Jan 14, 2025

Organization subpart

No

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

Authorized official

Name

Victor Manishimwe K

Title

Shareholder

Phone

(617) 858-4014

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1306656020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 WELLINGTON TERRACE DR",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044006",
            "telephone_number": "617-858-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 WELLINGTON TERRACE DR",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044006",
            "telephone_number": "617-858-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MICHAEL THE ARCHANGEL COMMUNITY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "MANISHIMWE K",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "617-858-4014"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Debra J St Onge, CMA
• Julie St Onge, RN
• Joshua St Ours
• St Teresa Rehabilitation & Nursing Center
• Rebekah Joy St. Francis

• Community/Behavioral Health Agency in Manchester, NH
• Providers in Manchester, NH by specialty
• Community/Behavioral Health Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.