1356912133 NPI number — UNITED CHURCH OF CHRIST RETIREMENT COMMUNITY INC

Table of content: (NPI 1356912133)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356912133 NPI number — UNITED CHURCH OF CHRIST RETIREMENT COMMUNITY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED CHURCH OF CHRIST RETIREMENT COMMUNITY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356912133
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/02/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
33 CHRISTIAN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CONCORD
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03301-6128
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-224-5363
Provider Business Mailing Address Fax Number:
603-227-1318

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
33 CHRISTIAN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CONCORD
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03301-6128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-224-5363
Provider Business Practice Location Address Fax Number:
603-229-1292
Provider Enumeration Date:
07/02/2021

Additional Information

Authorized Official

Authorized Official Last Name:
PALMIERI
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT / CEO
Authorized Official Telephone Number:
603-229-1144

Provider Taxonomy Codes

  • Taxonomy code: 261QR0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3078147 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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