Active NPI
Manchester Integrated Health Inc
- Skilled Nursing Facility
- Manchester, NH
National Provider Identifier
1629055306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 01466
- Legal business name
- MANCHESTER INTEGRATED HEALTH INC
- Practice address
- 191 Hackett Hill Rd
Manchester, NH 03102-8521 - Phone
- (603) 668-8161
- Fax
- (603) 622-2584
- NPI assigned
- Dec 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Reynolds
- Title
- Ceo
- Phone
- (410) 513-8738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 01466 | NH | Primary |
Addresses
Primary practice location
191 Hackett Hill Rd
Manchester, NH 03102-8521
Mailing address
191 Hackett Hill Rd
Manchester, NH 03102-8521
Phone (603) 668-8161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80005038 | Medicaid | NH |
Other names 1
- Hackett Hill Healthcare Center
National Provider Directory
National Provider Directory- Tax ID family
- 191 Hackett Hill Road Operations LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Manchester, NH
- NPI 1750784807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405468800000",
"number": "1629055306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 HACKETT HILL RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031028521",
"telephone_number": "603-668-8161",
"fax_number": "603-622-2584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 HACKETT HILL RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031028521",
"telephone_number": "603-668-8161",
"fax_number": "603-622-2584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANCHESTER INTEGRATED HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-23",
"last_updated": "2014-07-16",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-513-8738",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NH",
"license": "01466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80005038",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hackett Hill Healthcare Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Manchester, NH
- Manchester Health Services, LLC
- Manchester Health Services, LLC
- Manchester Health Services, LLC
- Manchester Health Supplies
- Manchester Home Health Care, LLC
- Manchester Internal Medicine Associates, P. C.
- Manchester Obstetrical Associates, P.a.
- Manchester Obstetrical Associates, PA
- Manchester Optometric, PA
- Manchester Oral Surgery, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.