MYRTLE MANOR II, INC. (NPI# 1457568180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457568180 |
| Entity Type | Organization |
| Organization Name | MYRTLE MANOR II, INC. |
| Practice Address |
83 Myrtle St Manchester NH 03104-6018 |
| Practice Telephone | 6036416626 |
| Practice Fax Number | 6036416678 |
| Mailing Telephone | 6036416626 |
| Mailing Fax Number | 6036416678 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SUZANNE DOROTHY DUMONT (PRESIDENT) |
| Authorized Official Telephone | 6036416626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 02233 | NH | Nursing & Custodial Care Facilities |
| Street Address |
83 MYRTLE ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-6018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386278414 | Family Partners Home LLC | Assisted Living Facility | 232 Creve Coeur Ave, Manchester, MO 63011-4040 | 2020-02-27 |
| 1649728353 | Elite Quality Care, Inc | Assisted Living Facility | 119 Bryan Ave, Manchester, TN 37355-2585 | 2016-09-12 |
| 1659550416 | North Pines Assisted Living Facility, Inc. | Assisted Living Facility | 3316 Wilhelm Ln, Manchester, MD 21102-2046 | 2007-10-29 |
| 1851502413 | Masonic Home | Assisted Living Facility | 813 Beech St, Manchester, NH 03104-3136 | 2007-05-25 |
| 1073560777 | Manchester Residential, LLC | Assisted Living Facility | 1621 Mcminnville Hwy, Manchester, TN 37355-3179 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558995845 | Summercrest Assisted Living LLC | Assisted Living Facility | 169 Summer St, Newport, NH 03773-1282 | 2020-02-26 |
| 1972078293 | Campbell House, LLC | Assisted Living Facility | 164 Old Springfield Rd, Charlestown, NH 03603-4504 | 2018-10-13 |
| 1902381957 | Meredith Senior Housing I Opco, LLC | Assisted Living Facility | 153 Parade Rd, Meredith, NH 03253-5401 | 2018-09-26 |
| 1689189516 | Je Purdy Co LLC | Assisted Living Facility | 55 Riverglen Ln, Littleton, NH 03561-5735 | 2017-12-14 |
| 1063964617 | Ehgfranklin Dba The Golden Crest | Assisted Living Facility | 29 Baldwin St, Franklin, NH 03235-2000 | 2016-10-31 |
| 1255796322 | Nadeau Senior Care Services, LLC | Assisted Living Facility | 306 Knox Marsh Rd, Madbury, NH 03823-7537 | 2015-12-16 |
| 1841666146 | Inn At Parker Station LLC | Assisted Living Facility | 46 Parker Station Rd, Goffstown, NH 03045-3322 | 2015-08-20 |
| 1780050468 | Karen4elders,llc | Assisted Living Facility | 35 N Lowell Rd, Windham, NH 03087-1661 | 2015-08-17 |
| 1134545742 | Nic 15 Pines of New Market Leasing LLC | Assisted Living Facility | 9 Grant Rd, Newmarket, NH 03857-2195 | 2014-03-07 |
| 1689090292 | Nic 15 Kirkwood Corners Leasing LLC | Assisted Living Facility | 206 N River Rd, Lee, NH 03861-6214 | 2014-03-07 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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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.