Provider Demographics
NPI:1255796322
Name:NADEAU SENIOR CARE SERVICES, LLC
Entity type:Organization
Organization Name:NADEAU SENIOR CARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:BERNDTSON
Authorized Official - Last Name:NADEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-343-4475
Mailing Address - Street 1:306 KNOX MARSH RD
Mailing Address - Street 2:
Mailing Address - City:MADBURY
Mailing Address - State:NH
Mailing Address - Zip Code:03823-7537
Mailing Address - Country:US
Mailing Address - Phone:603-343-4475
Mailing Address - Fax:
Practice Address - Street 1:306 KNOX MARSH RD
Practice Address - Street 2:
Practice Address - City:MADBURY
Practice Address - State:NH
Practice Address - Zip Code:03823-7537
Practice Address - Country:US
Practice Address - Phone:603-343-4475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04128310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility