Active NPI
Holy Cross Health Center Inc
- Skilled Nursing Facility
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 02324
- Legal business name
- HOLY CROSS HEALTH CENTER INC
- Practice address
- 357 Island Pond Rd
Manchester, NH 03109-4811 - Phone
- (603) 628-3550
- Fax
- (603) 626-6270
- NPI assigned
- Oct 5, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stefanie Marie Osiek
- Title
- Administrator
- Phone
- (603) 628-3550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 02324 | NH | Primary |
Addresses
Primary practice location
357 Island Pond Rd
Manchester, NH 03109-4811
Mailing address
357 Island Pond Rd
Manchester, NH 03109-4811
Phone (603) 628-3550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30009262 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150521001826 | NH | Part A Provider - Skilled Nursing Facility | 0042530628 | Practice locations: Manchester, NH |
Skilled nursing facility certification: CCN 305074
- Legal name
- HOLY CROSS HEALTH CENTER INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 15, 1996
- Last certification
- Jan 3, 2025
- Beds
- 40
- Ownership / control type
- Church Related
- Organization structure
- Corporation
- Incorporated
- May 23, 1995 in NH
- Enrollment address
- 357 Island Pond Rd
Manchester, NH 03109-4811 - Nursing home name
- HOLY CROSS HEALTH CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Holy Cross Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Mar 15, 1996
- Medicare certification status
- Active
- Certified beds
- 40
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 |
|---|---|---|---|
| 30D0909395 | Holy Cross Health Center Inc | Certificate of waiver | Dec 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
357 Island Pond Rd
Manchester, NH 03109
Phone (603) 606-3431
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 |
|---|---|---|---|
| Victor Ishak | Operational/Managerial Control | Dec 1, 2008 | |
| Stefanie Osiek | Operational/Managerial Control | Apr 1, 2021 | |
| Adp of the SNF | Feb 28, 2025 | ||
| Raphael Farra | Operational/Managerial Control | Mar 1, 2018 | |
| Adp of the SNF | Mar 1, 2018 | ||
| Anne Hoffler | Corporate Officer | Jan 1, 2024 | |
| Laura Renfer | Operational/Managerial Control | Jan 9, 2001 | |
| Bonni Phillips | Operational/Managerial Control | Apr 27, 2018 | |
| Sisters of Holy Cross, Inc./U.S. Region | 5% Or Greater Direct Ownership Interest | May 11, 1995 | 100% |
| Adp of the SNF | May 11, 1995 | ||
| Susan Dinardo | Operational/Managerial Control | Nov 19, 2013 | |
| Stephanie Fraser | Operational/Managerial Control | Feb 26, 2014 | |
| Marie Blanche Lamarre | Corporate Officer | Jan 1, 2024 | |
| Jessica Oliveira | Operational/Managerial Control | Jul 15, 2022 | |
| Kelli Coulombe | Operational/Managerial Control | Feb 22, 2022 | |
| Therese Martin | Corporate Officer | Jan 1, 2024 | |
| Kelly Murphy | Corporate Officer | Jan 1, 2017 | |
| Jody Eafrati | Operational/Managerial Control | Jan 5, 2004 |
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 1942291158
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Manchester, NH
- NPI 1942291158
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Manchester, NH
- NPI 1942291158
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704326400000",
"number": "1376530162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 ISLAND POND RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031094811",
"telephone_number": "603-628-3550",
"fax_number": "603-626-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 ISLAND POND RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031094811",
"telephone_number": "603-628-3550",
"fax_number": "603-626-6270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLY CROSS HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-05",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A",
"authorized_official_last_name": "OSIEK",
"authorized_official_first_name": "STEFANIE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "603-628-3550",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NH",
"license": "02324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30009262",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 4, 2024; 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.