Thi of New Hampshire at Derry, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THI OF NEW HAMPSHIRE AT DERRY, LLC

Doing business as

Pleasant Valley Nursing Center

Practice address

8 Peabody Rd
Derry, NH 03038-1807

Phone

(603) 434-1566

Fax

(603) 434-2299

NPI assigned

Oct 7, 2006

Last updated

Jun 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa St. Cyr

Title

President

Phone

(603) 434-1566

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pleasant Valley Nursing Center Doing business as

Locations

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1396832580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PEABODY RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381807",
            "telephone_number": "603-434-1566",
            "fax_number": "603-434-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF NEW HAMPSHIRE AT DERRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "ST. CYR",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-434-1566"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30102629",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Valley Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Derry, NH
• Providers in Derry, NH by specialty
• Skilled Nursing Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.