Provider Demographics
NPI:1447247325
Name:ST TERESA REHABILITATION & NURSING CENTER
Entity type:Organization
Organization Name:ST TERESA REHABILITATION & NURSING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGIONAL BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ZIRKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-703-8939
Mailing Address - Street 1:519 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-5396
Mailing Address - Country:US
Mailing Address - Phone:603-668-2373
Mailing Address - Fax:603-668-0059
Practice Address - Street 1:519 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-5396
Practice Address - Country:US
Practice Address - Phone:603-668-2373
Practice Address - Fax:603-668-0059
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW HAMSHIRE CATHOLIC CHARITIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-05
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH00581314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99750056Medicaid
NH305071Medicare Oscar/Certification