McKerley Health Care Centers, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

02290 Issued in NH

Legal business name

MCKERLEY HEALTH CARE CENTERS, INC.

Practice address

91 Country Village Rd
Lancaster, NH 03584-3142

Phone

(603) 788-4735

Fax

(603) 788-3675

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Jane Dropeskey

Title

Corporate Director

Phone

(610) 925-4231

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Country Village Center Doing business as

Tax ID family

91 Country Village Road Operations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 91 Country Village Road Operations LLC

  • Skilled Nursing Facility
  • Lancaster, NH
  • NPI 1558543371
  NPD tax ID

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1316973191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 COUNTRY VILLAGE RD",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035843142",
            "telephone_number": "603-788-4735",
            "fax_number": "603-788-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKERLEY HEALTH CARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DROPESKEY",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "610-925-4231"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "02290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "1038946",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80848162",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "889921",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030X162",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA - NH  VENDOR#",
            "identifier": "36516",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "30-5076",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA - NH",
            "identifier": "356166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Village Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly D McCann, PH.D.
• Samantha McGarry, LPC, LCMHC
• Timothy James McGarry, APRN FNP-C
• McKerley Health Care Center LLC
• McKerley Health Care Centers, Inc
• Katherine Christopher McMann
• Ann Michaud, R.PH.
• Tiffany Ann Moore, APRN-CNS, PMHNP-BC
• Mark Alfred Morgan, MD
• Nathan H Drum

• All providers in Lancaster, NH
• Skilled Nursing Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.