Healthcare Provider Details

I. General information

NPI: 1023444056
Provider Name (Legal Business Name): BEL-AIR NURSING AND REHAB CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2013
Last Update Date: 03/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 CENTER ST
GOFFSTOWN NH
03045-2948
US

IV. Provider business mailing address

29 CENTER ST
GOFFSTOWN NH
03045-2948
US

V. Phone/Fax

Practice location:
  • Phone: 603-497-4871
  • Fax: 603-497-2936
Mailing address:
  • Phone: 603-497-4871
  • Fax: 603-497-2936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number03989
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number305096
License Number StateNH

VIII. Authorized Official

Name: MR. ROBERT W LENOX
Title or Position: ADMINISTRATOR
Credential:
Phone: 603-497-4871