Provider Demographics
NPI:1770578064
Name:SISTERS OF CHARITY HEALTH CARE SYSTEMS NH INC
Entity type:Organization
Organization Name:SISTERS OF CHARITY HEALTH CARE SYSTEMS NH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGRANN
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:718-876-2494
Mailing Address - Street 1:91 TOMPKINS AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-2601
Mailing Address - Country:US
Mailing Address - Phone:718-876-4426
Mailing Address - Fax:718-876-4426
Practice Address - Street 1:91 TOMPKINS AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-2601
Practice Address - Country:US
Practice Address - Phone:718-876-4426
Practice Address - Fax:718-876-4426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1914775OtherCIGNA
NY01453263Medicaid
NY62200OtherELDERPLAN
NYA406793OtherOXFORD
NY545581OtherAETNA
NY202356OtherUSFHP
NY335772Medicare ID - Type Unspecified
NYW7D051Medicare ID - Type Unspecified
NY335772Medicare Oscar/Certification