Organization Active NPI

Manchester Integrated Health Inc

  • Skilled Nursing Facility
  • Manchester, NH
National Provider Identifier
1629055306
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
01466 Issued in NH
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

Updated by the provider on Jul 16, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
80005038MedicaidNH

Other names 1

  • Hackett Hill Healthcare Center Other name

National Provider Directory

National Provider Directory
Tax ID family
191 Hackett Hill Road Operations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.