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Contact Information

KENDAL AT HANOVER I
80 LYME ROAD
HANOVER, NH03755
 Phone: 603-643-8900
 Fax: 603-643-7099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KENDAL AT HANOVER I

NPI # 1083756399
LBN Legal business name KENDAL AT HANOVER I
Authorized official BRENT EDGERTON - (ASSOCIATE EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 04/27/2017 - About 9 years ago
Identifiers
NH License # 01775
NH License # 01954
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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