TI - DERRY LLC (NPI# 1235112012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235112012 |
| Entity Type | Organization |
| Organization Name | TI - DERRY LLC |
| Other Organization Name | DERRY HEALTHCARE AND REHABILITATION CENTER |
| Practice Address |
20 Chester Rd Derry NH 03038-1636 |
| Practice Telephone | 6034323801 |
| Practice Fax Number | 6034378287 |
| Mailing Telephone | 6034323801 |
| Mailing Fax Number | 6034378287 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2008-09-29 |
| Authorized Official Name | JOSEPH C TUTERA (OPERATOR) |
| Authorized Official Telephone | 8164440900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 02959 | NH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 99750142 | 05 |
| Other Name | Type Code |
|---|---|
| DERRY HEALTHCARE AND REHABILITATION CENTER | Doing Business As Name - Organization |
| Street Address |
20 CHESTER RD |
| City | DERRY |
| State | NH |
| Zip Code | 03038-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467000448 | Axis Health At Derry Opco LLC | Skilled Nursing Facility | 20 Chester Rd, Derry, NH 03038-1636 | 2019-09-03 |
| 1639659824 | Allison Mcneel | Occupational Therapist | 20 Chester Rd, Derry, NH 03038-1636 | 2018-08-16 |
| 1063725596 | Aurora Senior Living of Derry, LLC | Skilled Nursing Facility | 20 Chester Rd, Derry, NH 03038-1636 | 2010-07-26 |
| 1497865414 | Jonathan Mazur | Internal Medicine | 20 Chester Rd, Derry, NH 03038-1636 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396832580 | Thi of New Hampshire At Derry, LLC | Skilled Nursing Facility | 8 Peabody Rd, Derry, NH 03038-1807 | 2006-10-07 |
| 1467000448 | Axis Health At Derry Opco LLC | Skilled Nursing Facility | 20 Chester Rd, Derry, NH 03038-1636 | 2019-09-03 |
| 1972932655 | Pleasant Valley Operating Company LLC | Skilled Nursing Facility | 8 Peabody Rd, Derry, NH 03038-1807 | 2013-11-04 |
| 1063725596 | Aurora Senior Living of Derry, LLC | Skilled Nursing Facility | 20 Chester Rd, Derry, NH 03038-1636 | 2010-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1538403092 | Christopher Braid | Skilled Nursing Facility | 17 Old Coach Rd, Kingston, NH 03848-3441 | 2012-11-21 |
| 1558594374 | Esther Hottentot | Skilled Nursing Facility | 235 Myrtle Street, Manchester, NH 03104 | 2009-08-27 |
| 1154573921 | Christine Farnum | Skilled Nursing Facility | 18 Brenner Dr, Newton, NH 03858-3801 | 2008-10-10 |
| 1689821399 | Janet Pelletier | Skilled Nursing Facility | 46 Rangers Dr, Hudson, NH 03051-3534 | 2008-08-25 |
| 1588835904 | Innovative Placement Inc | Skilled Nursing Facility | 144 Chestnut St, Claremont, NH 03743-5845 | 2008-03-13 |
| 1467575183 | Genesis Rehabilitation Services | Skilled Nursing Facility | 4 Peabody St, Tilton, NH 03276-5407 | 2007-04-09 |
| 1447312046 | Edgewood Manor Inc | Skilled Nursing Facility | 928 South St, Portsmouth, NH 03801-5421 | 2006-12-14 |
| 1306934963 | School Street Associates | Skilled Nursing Facility | 67 School Street, Hillsboro, NH 03244 | 2006-10-10 |
| 1053346668 | Cfn Manchester-center LLC | Skilled Nursing Facility | 198 Pearl St, Manchester, NH 03104-4357 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.