ST VINCENT REHABILITATION & NURSING CENTER (NPI# 1326027830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326027830 |
| Entity Type | Organization |
| Organization Name | ST VINCENT REHABILITATION & NURSING CENTER |
| Other Organization Name | ST. VINCENT DEPAUL REHABILITATION & NURSING CENTER |
| Practice Address |
29 Providence Ave Berlin NH 03570-3130 |
| Practice Telephone | 6037521820 |
| Practice Fax Number | 6037527149 |
| Mailing Telephone | 6037521820 |
| Mailing Fax Number | 6037527149 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | MR. CHAD DINGMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 6037521820 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW HAMPSHIRE CATHOLIC CHARITIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 00503 | NH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 99750057 | 05 |
| Other Name | Type Code |
|---|---|
| St. Vincent dePaul Rehabilitation & Nursing Center | Doing Business As Name - Organization |
| Street Address |
29 PROVIDENCE AVE |
| City | BERLIN |
| State | NH |
| Zip Code | 03570-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353211 | Julia Lauren Soccio | Physical Therapist | 29 Providence Ave, Berlin, NH 03570-3199 | 2019-12-18 |
| 1104478734 | Catherine Lane | Occupational Therapist | 29 Providence Ave, Berlin, NH 03570-3199 | 2019-07-13 |
| 1144742370 | Megan Hood | Occupational Therapist | 29 Providence Ave, Berlin, NH 03570-3130 | 2017-07-10 |
| 1811351547 | Leeann Kelley | Speech-Language Pathologist | 29 Providence Ave, Berlin, NH 03570-3130 | 2016-04-08 |
| 1255755666 | Saral Gupta | Physical Therapist | 29 Providence Ave, Berlin, NH 03570-3130 | 2014-02-06 |
| 1619317930 | Genesis Rehabilitation Services | Physical Therapist | 29 Providence Ave, Berlin, NH 03570-3130 | 2013-07-01 |
| 1326352485 | Kelly Jean Thompson | Physical Therapy Assistant | 29 Providence Ave, Berlin, NH 03570-3130 | 2010-07-31 |
| 1487805727 | Matthew George Saffian | Physical Therapy Assistant | 29 Providence Ave, Berlin, NH 03570-3130 | 2008-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351991 | Debra Chen | Psychologist | 1 Success Loop Road, Berlin, NH 03570 | 2019-11-26 |
| 1669826780 | Tri County Community Action Program | Case Management | 30 Exchange St, Berlin, NH 03570 | 2016-04-14 |
| 1952789265 | Brianne Teaboldt | Family Medicine | 133 Pleasant St Unit 2, Berlin, NH 03570 | 2015-05-07 |
| 1932435286 | Kristy May Nadeau | Nutritionist | 457 Forbush Avenue, Berlin, NH 03570 | 2009-10-21 |
| 1477737195 | Gayle M Theberge | Student in an Organized Health Care Education/Training Program | 3 Twelfth Street, Berlin, NH 03570 | 2007-12-18 |
| 1003019837 | Coos County Family Health Services | Dentist | 73 Main Street, Berlin, NH 03570 | 2007-06-08 |
| 1598824658 | Saadat U Khan Md Pa | Internal Medicine | 213 High St, Saadat U Khan Md Prof Assn, Berlin, NH 03570 | 2006-12-06 |
| 1508956327 | Judy Marie E Buteau | Social Worker | 292 Pleasant Street, Berlin, NH 03570 | 2006-10-13 |
| 1538254024 | Laurel J Pulsifer | Optometrist | 820 Main Street, Berlin, NH 03570 | 2006-10-03 |
| 1760592778 | William D Foord | Ophthalmology | 60 Pleasant St, Berlin, NH 03570 | 2006-08-30 |
| Find all providers in zip 03570 | ||||
| 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 |
|---|---|---|---|---|
| 1023154929 | Thedacare Medical Center - Berlin, Inc. | Skilled Nursing Facility | 482 Oak St, Berlin, WI 54923-1204 | 2007-01-29 |
| 1578555140 | Virtua Health & Rehabilitation Center At Berlin, Inc. | Skilled Nursing Facility | 100 Long A Coming Ln, Berlin, NJ 08009-1964 | 2005-08-18 |
| 1972506954 | Somerset Care Inc. | Skilled Nursing Facility | 1404 Hay St, Berlin, PA 15530-1455 | 2005-05-24 |
| 1861947913 | Berlin Health Care LLC | Skilled Nursing Facility | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2016-08-18 |
| 1598103475 | Moriah Leigh Zybura | Skilled Nursing Facility | 1404 Hay St, Berlin, PA 15530-1455 | 2013-06-12 |
| 1578697876 | Bethany Suzanne D'antonio | Skilled Nursing Facility | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2007-03-16 |
| 1215023759 | Central Vermont Medical Center Inc | Skilled Nursing Facility | 142 Woodridge Rd, Berlin, VT 05602-9165 | 2006-10-04 |
| 1457390775 | Mid-atlantic Long Term Care, LLC | Skilled Nursing Facility | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2006-06-05 |
| 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 |
| 1396832580 | Thi of New Hampshire At Derry, LLC | Skilled Nursing Facility | 8 Peabody Rd, Derry, NH 03038-1807 | 2006-10-07 |
| 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.