CFN Manchester North LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

02854 Issued in NH

Legal business name

CFN MANCHESTER NORTH LLC

Practice address

901 Suncook Valley Hwy
Epsom, NH 03234-4329

Phone

(603) 736-4772

NPI assigned

May 23, 2006

Last updated

Jan 30, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

ELDERTRUST OF FLORIDA INC.As reported in NPPES

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

Authorized official

Name

William T Richmond

Title

President

Phone

(615) 459-6094

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1992750764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SUNCOOK VALLEY HWY",
            "city": "EPSOM",
            "state": "NH",
            "postal_code": "032344329",
            "telephone_number": "603-736-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUNCOOK VALLEY HWY",
            "city": "EPSOM",
            "state": "NH",
            "postal_code": "032344329",
            "telephone_number": "603-736-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFN MANCHESTER NORTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELDERTRUST OF FLORIDA INC.",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-459-6094"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "02854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30101898",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS NH",
            "identifier": "0305080",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Marie Bacon, HIS
• BH Epsom LLC (Epsom HealthCare Center)
• Care Pharmacy Inc
• Janice M Caron, COTA/L
• Casey Ryan Carroll
• CFN Manchester/North, LLC
• Richard Alan Clough, RPH
• Conversation Weaving LLC
• Brian Corey
• Elizabeth Maren Costello, PA-C

• Skilled Nursing Facility in Epsom, NH
• Providers in Epsom, 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 Jan 30, 2008; 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.