Organization Active NPI

Mount Carmel Rehabilitation & Nursing Center

  • Skilled Nursing Facility
  • Manchester, NH
National Provider Identifier
1376530246
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
00580 Issued in NH
Legal business name
MOUNT CARMEL REHABILITATION & NURSING CENTER
Practice address
235 Myrtle St
Manchester, NH 03104-4314
Phone
(603) 627-3811
Fax
(603) 626-4696
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Authorized official

Name
Mr. Joe Bohunicky
Title
Administrator
Phone
(603) 627-3811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 00580 NH Primary

Addresses

Primary practice location

235 Myrtle St
Manchester, NH 03104-4314

Mailing address

235 Myrtle St
Manchester, NH 03104-4314
Phone (603) 627-3811

Other identifiers 2

IdentifierTypeStateIssuer
30593558MedicaidNH
99006643MedicaidNH

Other names 1

  • Mount Carmel Rehab Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030224000041 NH Part A Provider - Skilled Nursing Facility 6901715440 Practice locations: Manchester, NH

Skilled nursing facility certification: CCN 305067

Legal name
MOUNT CARMEL REHABILITATION & NURSING CENTER
Doing business as
MOUNT CARMEL REHABILITATION & NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1996
Last certification
May 22, 2024
Beds
122
Ownership / control type
Church Related
Multi-facility organization
Catholic Charities of New Hampshire
Organization structure
CorporationNon-profit
Incorporated
Mar 7, 1946 in NH
Enrollment address
235 Myrtle St
Manchester, NH 03104-4314
Nursing home name
MOUNT CARMEL REHABILITATION AND NURSING CENTER
Affiliated entity
CATHOLIC CHARITIES NEW HAMPSHIRE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mount Carmel Rehabilitation and Nursing CenterCCN 305067
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Apr 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
122109.7 residents per day on average
Chain
Catholic Charities New Hampshire6 facilities in the chain

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
30D0085748Mt Carmel Rehabilitation & Nursing Center235 Myrtle St, Manchester, NH 03104Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sarah E Richardson Individual W-2 Managing Employee Oct 18, 2018
Anu Mullikin Individual Corporate DirectorTrustee Sep 1, 2016
Jeffrey McLean Individual Corporate DirectorTrustee Sep 1, 2021
Thomas Blonski Individual Corporate OfficerCeo Jul 1, 2006
W-2 Managing EmployeePresident and Ceo Jul 1, 2006
Peter a Libasci Individual Corporate DirectorEx Officio Sep 1, 2011
Russ Ouellette Individual Corporate DirectorTrustee Sep 1, 2017
Karen a Zirkle Individual W-2 Managing Employee Oct 18, 2018
Tina Legere Individual Corporate DirectorTrustee Sep 1, 2018
John Patenaude Individual Corporate DirectorTrustee Sep 1, 2018
Catherine Mirable Individual Corporate DirectorTrustee Sep 1, 2019
Susan D Huard Individual Corporate DirectorTrustee Sep 1, 2020
Joseph Bohunicky Individual W-2 Managing EmployeeAdministrator Jan 1, 2016
Kevin Barrett Individual Corporate DirectorTrustee Sep 1, 2016
NH Catholic Charities Inc Organization, Manchester, NH Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1969 100%
Operational/Managerial Control Jan 1, 1969
David Z Hildenbrand Individual Corporate OfficerCfo Apr 12, 2017
Kevin Paul Desrosiers Individual Corporate DirectorTrustee Sep 1, 2020
Patrick H Ford Individual Corporate DirectorTrustee Sep 1, 2019
Richard Hilton Individual Corporate DirectorTrustee Sep 1, 2017
Edward James Powers Individual Corporate DirectorTrustee Sep 1, 2018
Adam Coughlin Individual Corporate DirectorTrustee Sep 1, 2020
Alain J Bernard Individual W-2 Managing EmployeeAsst Vice President Healthcare Oct 1, 2018
Jason Jalbert Individual Corporate DirectorTrustee Sep 1, 2017
Kate Baker Demers Individual Corporate DirectorTrustee Sep 1, 2020

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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": "1570147200000",
    "number": "1376530246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MYRTLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044314",
            "telephone_number": "603-627-3811",
            "fax_number": "603-626-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MYRTLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044314",
            "telephone_number": "603-627-3811",
            "fax_number": "603-626-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL REHABILITATION & NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "BOHUNICKY",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-627-3811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "00580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30593558",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99006643",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Carmel Rehab Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mount Carmel Rehab Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.