Provider Demographics
NPI:1912986316
Name:WARDE HEALTH CENTER
Entity Type:Organization
Organization Name:WARDE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, PRESIDENT OF CORP.
Authorized Official - Prefix:MS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:DENOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:603-890-1290
Mailing Address - Street 1:21 SEARLES RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1203
Mailing Address - Country:US
Mailing Address - Phone:603-890-1290
Mailing Address - Fax:603-890-1293
Practice Address - Street 1:21 SEARLES RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1203
Practice Address - Country:US
Practice Address - Phone:603-890-1290
Practice Address - Fax:603-890-1293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH01943314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3078166Medicaid
NH3078166Medicaid