Rochester Manor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

02647 Issued in NH

Legal business name

ROCHESTER MANOR LLC

Practice address

40 Whitehall Road
Rochester, NH 03867-3225

Phone

(603) 332-7711

Fax

(603) 330-3013

NPI assigned

Oct 11, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carole M Scillia

Title

LLC Manager

Phone

(203) 608-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rochester Manor Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1811985013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 PRESTON AVENUE",
            "address_2": "SUITE 270",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504851",
            "telephone_number": "203-608-6100",
            "fax_number": "203-639-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WHITEHALL ROAD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673225",
            "telephone_number": "603-332-7711",
            "fax_number": "603-330-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "SCILLIA",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "203-608-6100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "02647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30100130",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rochester Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Roberts, APRN
• Sara Elizabeth Rochefort, CPNP
• Rochester Chiropractic
• Rochester Dental, PC
• Rochester Eye Care Associates PLLC
• Rochester Pediatrics
• Rochester School District
• Christina Rodgers
• Kelly Rogers, MASSAGE THERAPIST
• Daniel Rollnick

• Skilled Nursing Facility in Rochester, NH
• Providers in Rochester, NH by specialty
• Skilled Nursing Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.