Provider Demographics
NPI:1801105242
Name:NEW HAMPSHIRE VETERANS HOME
Entity type:Organization
Organization Name:NEW HAMPSHIRE VETERANS HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:CONWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-527-4844
Mailing Address - Street 1:139 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:TILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03276-5415
Mailing Address - Country:US
Mailing Address - Phone:603-527-4400
Mailing Address - Fax:603-527-4402
Practice Address - Street 1:139 WINTER ST
Practice Address - Street 2:
Practice Address - City:TILTON
Practice Address - State:NH
Practice Address - Zip Code:03276-5415
Practice Address - Country:US
Practice Address - Phone:603-527-4400
Practice Address - Fax:603-527-4402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility