Healthcare Provider Details

I. General information

NPI: 1184605941
Provider Name (Legal Business Name): UNITED CHURCH OF CHRIST RETIREMENT COMMUNITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 CHRISTIAN AVE
CONCORD NH
03301-6128
US

IV. Provider business mailing address

33 CHRISTIAN AVE
CONCORD NH
03301-6128
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-5363
  • Fax: 603-229-1188
Mailing address:
  • Phone: 603-224-5363
  • Fax: 603-229-1188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number01727
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number00577
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number02431
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number00577
License Number StateNH

VIII. Authorized Official

Name: MR. MICHAEL A PALMIERI
Title or Position: PRESIDENT CEO
Credential:
Phone: 603-229-1144