Active NPI
40 Whitehall Road Operations LLC
Doing business as Rochester Manor
- Skilled Nursing Facility
- Rochester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 00000
- Legal business name
- 40 WHITEHALL ROAD OPERATIONS LLC
- Doing business as
- Rochester Manor
- Practice address
- 40 Whitehall Rd
Rochester, NH 03867-3225 - Phone
- (603) 332-7711
- Fax
- (603) 332-7712
- NPI assigned
- Aug 14, 2015
- Organization subpart
- Yes
- Parent organization
- SUMMIT CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael T Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 00000 | NH | Primary |
Addresses
Primary practice location
40 Whitehall Rd
Rochester, NH 03867-3225
Mailing address
40 Whitehall Rd
Rochester, NH 03867-3225
Phone (603) 332-7711
Other names 1
- Rochester Manor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160428001337 | NH | Part A Provider - Skilled Nursing Facility | 9133420789 | Practice locations: Rochester, NH |
Skilled nursing facility certification: CCN 305024B
- Legal name
- 40 WHITEHALL ROAD OPERATIONS LLC
- Doing business as
- ROCHESTER MANOR
- Organization structure
- LLC
- Incorporated
- Jul 10, 2015 in NH
- Enrollment address
- 40 Whitehall Rd
Rochester, NH 03867-3225 - Nursing home name
- ROCHESTER MANOR
- Affiliated entity
- GENESIS HEALTHCARE
National Provider Directory
National Provider DirectoryLocations
40 Whitehall Rd
Rochester, NH 03867
Phone (603) 331-7711
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Summit Care LLC | 5% Or Greater Direct Ownership Interest | Jul 10, 2015 | 100% |
| Laura Bridgeford | Corporate Officer | Apr 1, 2024 | |
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Jul 10, 2015 | 10.8% |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Jul 10, 2015 | 100% |
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 | 100% |
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Jul 10, 2015 | 100% |
| Summit Care Parent LLC | 5% Or Greater Indirect Ownership Interest | Jul 10, 2015 | 100% |
| Adp of the SNF | Dec 1, 2015 | ||
| Magued Y Rizkalla Hanna | Operational/Managerial Control | Jan 1, 2018 | |
| Adp of the SNF | Jan 1, 2018 | ||
| Adp of the SNF | Mar 12, 2025 | ||
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 5.2% |
| Adp of the SNF | Mar 12, 2025 | ||
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Jul 10, 2015 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Jul 10, 2015 | 65.3% |
| Welltower Op, LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2024 | 5.7% |
| Arnold M Whitman | 5% Or Greater Indirect Ownership Interest | Jul 10, 2015 | 10.8% |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Jul 10, 2015 | 100% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Jul 10, 2015 | 7.6% |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Jul 10, 2015 | 7.6% |
| Avi Pinchas Mendelson | Corporate Officer | Apr 1, 2024 | |
| Michael T Berg | Corporate Officer | Dec 1, 2015 | |
| Kathleen McCracken | Operational/Managerial Control | May 6, 2024 | |
| Adp of the SNF | May 6, 2024 | ||
| Skilled Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Jul 10, 2015 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Portsmouth, NH
- NPI 1538259502
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 177
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-
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- Skilled Nursing Facility
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- Skilled Nursing Facility
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- Skilled Nursing Facility
- Franklin, NH
- NPI 1700068533
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Prop
-
dba Applewood Center
- Skilled Nursing Facility
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FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation Holdco Inc, Welltower Op, LLC, Zac Prop
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Portsmouth, NH
- NPI 1538259502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439769600000",
"number": "1508232414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WHITEHALL RD",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038673225",
"telephone_number": "603-332-7711",
"fax_number": "603-332-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 WHITEHALL RD",
"city": "ROCHESTER",
"state": "NH",
"postal_code": "038673225",
"telephone_number": "603-332-7711",
"fax_number": "603-332-7712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "40 WHITEHALL ROAD OPERATIONS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUMMIT CARE LLC",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-17",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "505-468-4742"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NH",
"license": "00000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rochester Manor",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rochester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.