Organization Active NPI

Holy Cross Health Center Inc

  • Skilled Nursing Facility
  • Manchester, NH
National Provider Identifier
1376530162
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
02324 Issued in NH
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

Updated by the provider on Jan 4, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30009262MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 305074
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Mar 15, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4023.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0909395Holy Cross Health Center Inc357 Island Pond Rd, Manchester, NH 03109Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Victor Ishak Individual Operational/Managerial Control Dec 1, 2008
Stefanie Osiek Individual Operational/Managerial Control Apr 1, 2021
Adp of the SNF Feb 28, 2025
Raphael Farra Individual Operational/Managerial Control Mar 1, 2018
Adp of the SNF Mar 1, 2018
Anne Hoffler Individual Corporate Officer Jan 1, 2024
Laura Renfer Individual Operational/Managerial Control Jan 9, 2001
Bonni Phillips Individual Operational/Managerial Control Apr 27, 2018
Sisters of Holy Cross, Inc./U.S. Region Organization, Manchester, NH Non-profit 5% Or Greater Direct Ownership Interest May 11, 1995 100%
Adp of the SNF May 11, 1995
Susan Dinardo Individual Operational/Managerial Control Nov 19, 2013
Stephanie Fraser Individual Operational/Managerial Control Feb 26, 2014
Marie Blanche Lamarre Individual Corporate Officer Jan 1, 2024
Jessica Oliveira Individual Operational/Managerial Control Jul 15, 2022
Kelli Coulombe Individual Operational/Managerial Control Feb 22, 2022
Therese Martin Individual Corporate OfficerCorporate Officer Jan 1, 2024
Kelly Murphy Individual Corporate Officer Jan 1, 2017
Jody Eafrati Individual 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

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

Verify at the official NPI Registry.