Provider Demographics
NPI:1023444056
Name:BEL-AIR NURSING AND REHAB CENTER INC.
Entity type:Organization
Organization Name:BEL-AIR NURSING AND REHAB CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:LENOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-497-4871
Mailing Address - Street 1:29 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045-2948
Mailing Address - Country:US
Mailing Address - Phone:603-497-4871
Mailing Address - Fax:603-497-2936
Practice Address - Street 1:29 CENTER ST
Practice Address - Street 2:
Practice Address - City:GOFFSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03045-2948
Practice Address - Country:US
Practice Address - Phone:603-497-4871
Practice Address - Fax:603-497-2936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03989314000000X
NH305096314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3095281Medicaid
NH305096Medicare Oscar/Certification