NPIMap

Organization Active NPI

Hanover Terrace, LLC

  • Skilled Nursing Facility
  • Hanover, NH
National Provider Identifier
1457242414
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HANOVER TERRACE, LLC
Practice address
49 Lyme Rd
Hanover, NH 03755-1205
Phone
(603) 643-2854
NPI assigned
Jul 9, 2025
Last updated
Jul 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Mr. Patrick W. Lyons
Title
Administrator
Phone
(603) 903-7907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

49 Lyme Rd
Hanover, NH 03755-1205

Mailing address

49 Lyme Rd
Hanover, NH 03755-1205
Phone (603) 643-2854

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260205002266 NH Part A Provider - Skilled Nursing Facility 5698254159 Practice locations: Hanover, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457242414. Details of each certification follow.

Skilled nursing facility certification: CCN 305020

Legal name
HANOVER TERRACE LLC
Doing business as
HANOVER TERRACE HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 16, 1970
Last certification
Oct 30, 2024
Beds
100
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Nov 1, 2025
Organization structure
LLCProprietary
Enrollment address
49 Lyme Rd
Hanover, NH 03755-1205
Nursing home name
HANOVER TERRACE HEALTH AND REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hanover Terrace Health and RehabilitationCCN 305020 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 16, 1970
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10049.3 residents per day on average
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Joshua Mamary Individual Direct Ownership Interest Nov 1, 2025 25%
Youcef Sennour Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025
Jonathan W Mamary Individual 5% Or Greater Direct Ownership Interest Nov 1, 2025 75%
Direct Ownership Interest Nov 1, 2025 75%
Patrick Lyons Individual Operational/Managerial Control Nov 1, 2025
Adp of the SNF Nov 1, 2025

Owners & managing parties with NPI records 1

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

  • Youcef Sennour, MD
    • Geriatric Medicine (Internal Medicine) Physician
    • Lebanon, NH
    • NPI 1053369280

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1457242414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LYME RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551205",
            "telephone_number": "603-643-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LYME RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551205",
            "telephone_number": "603-643-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER TERRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-903-7907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

Verify at the official NPI Registry.