Active NPI
Courville at Manchester LLC
- Skilled Nursing Facility
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 02263
- Legal business name
- COURVILLE AT MANCHESTER LLC
- Practice address
- 44 W Webster St
Manchester, NH 03104-2912 - Phone
- (603) 647-5900
- Fax
- (603) 625-6804
- NPI assigned
- Feb 21, 2006
- 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. Ryan Courville
- Title
- President
- Phone
- (603) 647-1233
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 02263 | NH | |
| Skilled Nursing Facility | 314000000X | 02263 | NH | Primary |
Addresses
Primary practice location
44 W Webster St
Manchester, NH 03104-2912
Mailing address
175 River Rd
Manchester, NH 03104-2921
Phone (603) 647-1233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3071145 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061229000046 | NH | Part A Provider - Skilled Nursing Facility | 9739189515 | Practice locations: Manchester, NH |
Skilled nursing facility certification: CCN 305057
- Legal name
- COURVILLE AT MANCHESTER LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 1, 1996
- Last certification
- Jan 17, 2025
- Beds
- 76
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 44 W Webster St
Manchester, NH 03104-2912 - Nursing home name
- COURVILLE AT MANCHESTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Courville at Manchester
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1996
- Medicare certification status
- Active
- Certified beds
- 76
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D0085634 | Courville at Manchester,the | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
175 River Rd
Manchester, NH 03104
44 W Webster St
Manchester, NH 03104
Phone (603) 547-5900
Ownership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Michael Courville | 5% Or Greater Indirect Ownership Interest | Aug 17, 2024 | 33.33% |
| Adp of the SNF | Aug 17, 2024 | ||
| Adp of the SNF | Jun 1, 2025 | ||
| Ryan G Courville | 5% Or Greater Indirect Ownership Interest | Aug 17, 2024 | 33.33% |
| Corporate Officer | Jul 28, 2019 | 100% | |
| Corporate Director | Aug 19, 2024 | 100% | |
| Trustee of the SNF | Aug 19, 2024 | ||
| Adp of the SNF | Jul 28, 2019 | ||
| Adp of the SNF | Jun 3, 2025 | ||
| The Courville Company Inc | Operational/Managerial Control | May 29, 1991 | 100% |
| Adp of the SNF | May 29, 1991 | ||
| Adp of the SNF | Jun 3, 2025 | ||
| Richard Courville 1999 Revocable Trust, As Amended | 5% Or Greater Direct Ownership Interest | Aug 17, 2024 | 99% |
| Adp of the SNF | Aug 17, 2024 | ||
| Samuel J Goldman | Operational/Managerial Control | Dec 1, 2023 | |
| Adp of the SNF | Dec 1, 2023 | ||
| Alyssa Rifkin | Operational/Managerial Control | Mar 31, 2023 | |
| Adp of the SNF | Jun 8, 2025 | ||
| Adp of the SNF | Jun 8, 2025 | ||
| La Quinta Holdings I, Inc. | Operational/Managerial Control | Aug 17, 2024 | |
| Direct Ownership Interest | Aug 17, 2024 | 1% | |
| Adam Courville | 5% Or Greater Indirect Ownership Interest | Aug 17, 2024 | 33.33% |
| Adp of the SNF | Aug 17, 2024 | ||
| Paulette J Didomenico | Operational/Managerial Control | Sep 18, 2013 | |
| Adp of the SNF | Sep 18, 2013 | ||
| Adp of the SNF | Jun 1, 2025 | ||
| Adp of the SNF | Jun 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Manchester, NH
- NPI 1225019169
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Nashua, NH
- NPI 1194722553
Richard Courville 1999 Revocable Trust, As Amended, The Courville Company Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Manchester, NH
- NPI 1225019169
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Manchester, NH
- NPI 1225019169
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756684800000",
"number": "1699740043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 RIVER RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042921",
"telephone_number": "603-647-1233",
"fax_number": "603-647-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 W WEBSTER ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042912",
"telephone_number": "603-647-5900",
"fax_number": "603-625-6804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COURVILLE AT MANCHESTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-21",
"last_updated": "2025-09-01",
"certification_date": "2025-09-01",
"status": "A",
"authorized_official_last_name": "COURVILLE",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "603-647-1233",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NH",
"license": "02263",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NH",
"license": "02263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3071145",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 1, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.