Organization Active NPI

Courville at Manchester LLC

  • Skilled Nursing Facility
  • Manchester, NH
National Provider Identifier
1699740043
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
02263 Issued in NH
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

Updated by the provider on Sep 1, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3071145MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 ManchesterCCN 305057 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7666.6 residents per day on average
Special focus status
SFF Candidate
Penalties (3 years)
2Fines totaling $35,270

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0085634Courville at Manchester,the44 West Webster St, Manchester, NH 03104Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Michael Courville Individual 5% Or Greater Indirect Ownership Interest Aug 17, 2024 33.33%
Adp of the SNF Aug 17, 2024
Organization, Kennett Square, PA Medical staffing company Adp of the SNF Jun 1, 2025
Ryan G Courville Individual 5% Or Greater Indirect Ownership Interest Aug 17, 2024 33.33%
Corporate OfficerPresident Jul 28, 2019 100%
Corporate DirectorDirector Aug 19, 2024 100%
Trustee of the SNF Aug 19, 2024
Adp of the SNF Jul 28, 2019
Organization, Chelmsford, MA Medical staffing company Adp of the SNF Jun 3, 2025
The Courville Company Inc Organization, Manchester, NH Operational/Managerial Control May 29, 1991 100%
Adp of the SNF May 29, 1991
Organization, Pelham, NH Medical staffing company Adp of the SNF Jun 3, 2025
Richard Courville 1999 Revocable Trust, As Amended Organization, Manchester, NH 5% Or Greater Direct Ownership Interest Aug 17, 2024 99%
Adp of the SNF Aug 17, 2024
Samuel J Goldman Individual Operational/Managerial Control Dec 1, 2023
Adp of the SNF Dec 1, 2023
Alyssa Rifkin Individual Operational/Managerial Control Mar 31, 2023
Adp of the SNF Jun 8, 2025
Organization, Manchester, NH Medical staffing company Adp of the SNF Jun 8, 2025
La Quinta Holdings I, Inc. Organization, Manchester, NH Operational/Managerial Control Aug 17, 2024
Direct Ownership Interest Aug 17, 2024 1%
Adam Courville Individual 5% Or Greater Indirect Ownership Interest Aug 17, 2024 33.33%
Adp of the SNF Aug 17, 2024
Paulette J Didomenico Individual Operational/Managerial Control Sep 18, 2013
Adp of the SNF Sep 18, 2013
Organization, Portland, ME Consulting firm Adp of the SNF Jun 1, 2025
Organization, Gilford, NH Consulting firm 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.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "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

Verify at the official NPI Registry.