Active NPI
McKerley Health Care Centers Inc.
- Skilled Nursing Facility
- Lebanon, NH
National Provider Identifier
1720020290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 02289
- Legal business name
- MCKERLEY HEALTH CARE CENTERS INC.
- Doing business as
- Lebanon Center
- Practice address
- 24 Old Etna Rd
Lebanon, NH 03766-1937 - Phone
- (603) 448-2234
- Fax
- (603) 448-2087
- NPI assigned
- Jun 11, 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
- Jane Dropeskey
- Title
- Corporate Manager
- Phone
- (610) 925-4231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 02289 | NH | Primary |
Addresses
Primary practice location
24 Old Etna Rd
Lebanon, NH 03766-1937
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30-5050 | Other | ANTHEM | |
| 30002722 | Medicaid | NH | |
| 903354 | Other | HARVARD PILGRIM | |
| 305050 | Medicaid | VT | |
| 365167 | Other | CIGNA - NH | |
| 889915 | Other | MVP HEALTH PLAN | |
| 1038917 | Other | AETNA-HMO | |
| 36766 | Other | CIGNA - NH - VENDOR # |
Other names 1
- Lebanon Center
National Provider Directory
National Provider Directory- Tax ID family
- 24 Old Etna 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
- Lebanon, NH
- NPI 1538341367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1720020290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-4436",
"fax_number": "610-925-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 OLD ETNA RD",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661937",
"telephone_number": "603-448-2234",
"fax_number": "603-448-2087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKERLEY HEALTH CARE CENTERS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "DROPESKEY",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "CORPORATE MANAGER",
"authorized_official_telephone_number": "610-925-4231"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NH",
"license": "02289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "30-5050",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30002722",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "903354",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305050",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA - NH",
"identifier": "365167",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH PLAN",
"identifier": "889915",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-HMO",
"identifier": "1038917",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA - NH - VENDOR #",
"identifier": "36766",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lebanon Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.