Active NPIOrganization

24 Old Etna Road Operations LLC

Skilled Nursing Facility in Lebanon, New Hampshire

NPI Number1538341367
Practice location
24 Old Etna RD, Lebanon, NH 03766-1937
Fax
603-448-2087
Last updated
July 18, 2025

24 Old Etna Road Operations LLC is a healthcare organization based in Lebanon, NH. 24 Old Etna Road Operations LLC practices in Lebanon, NH. The NPI Number for 24 Old Etna Road Operations LLC is 1538341367 and holds a License No. 03702 (NH). The current practice location address for 24 Old Etna Road Operations LLC is 24 Old Etna RD, Lebanon, NH 03766-1937 and can be reached out via phone at 603-448-2234 and via fax at 603-448-2087.

Provider Profile Details

NPI Number
1538341367
Provider Name
24 Old Etna Road Operations LLC
Provider Entity Type
Organization
Address
24 Old Etna RD, Lebanon, NH 03766-1937
Phone Number
603-448-2234
Fax Number
603-448-2087
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Michael Berg · Secretary · 610-444-6350
Other Names
Lebanon Center (Doing Business As)
Provider Enumeration Date
December 4, 2007
Last Update Date
July 18, 2025
Certification Date
July 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Old Etna RD
Lebanon, NH 03766-1937
Zip
03766-1937
Phone Number
603-448-2234
Fax Number
603-448-2087
Lebanon, NH 03766Get directions →

Provider Business Mailing Address Details

Address
101 E State St
Kennett Square, PA 19348-3109
City
Kennett Square
State
PA
Zip
19348-3109
Phone Number
610-925-4436
Fax Number
610-925-4351

License Information

License Number
03702
License State
NH
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Skilled Nursing Facility providers near Lebanon, NH

View all Skilled Nursing Facility providers in Lebanon →

Frequently Asked Questions

What is the NPI number of 24 Old Etna Road Operations LLC?

The NPI number of 24 Old Etna Road Operations LLC is 1538341367. It was assigned on December 4, 2007 and is currently active in the NPPES registry.

What is the specialty of 24 Old Etna Road Operations LLC?

24 Old Etna Road Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in NH under license number 03702.

Where does 24 Old Etna Road Operations LLC practice?

The practice location is 24 Old Etna RD, Lebanon, NH 03766-1937. The office can be reached at 603-448-2234 (phone) or 603-448-2087 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538341367 directly on the NPPES registry website.

Browse related providers