CLIPPER HARBOR
NPI 1093769408
Skilled Nursing Facility in Portsmouth, NH

NPI Status: Active since May 20, 2006

Contact Information

188 JONES AVE
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 431-2530
Fax: (603) 427-0507

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance

About CLIPPER HARBOR

This page provides the complete NPI Profile along with additional information for Clipper Harbor, a provider established in Portsmouth, New Hampshire operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1093769408 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number 02450 (NH). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Clipper Harbor. The authorized official of this NPI record is Michael Berg (Assistant Secretary)

NPI
1093769408
Provider Legal Name
SUNBRIDGE CLIPPER HOME OF PORTSMOUTH LLC
Other Organization Name
CLIPPER HARBOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
188 JONES AVE PORTSMOUTH, NH 03801
Location Phone
(603) 431-2530
Location Fax
(603) 427-0507
Mailing Address
101 SUN AVE NE COMPLIANCE DEPARTMENT ALBUQUERQUE, NM 87109
Mailing Phone
(505) 468-5604
Mailing Fax
(603) 427-0507
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-20-2006
Last Update Date
08-17-2018
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
02450
License State
NH
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1310400000XNursing & Custodial Care Facilities

Assisted Living Facility

02453 (NH)
2311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

02450 (NH)
3313M00000XNursing & Custodial Care Facilities

Nursing Facility/Intermediate Care Facility

02450 (NH)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
  • Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
  • Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
  • Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
  • Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
  • Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
  • Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
  • Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
  • Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
  • Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL BERG

Authorized Official Title
ASSISTANT SECRETARY
Authorized Official Phone
(505) 468-4742

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========OTHER (01)PROGRESSIVE
=========OTHER (01)WAUSUA
5BBOTHER (01)FEDERAL BC
=========OTHER (01)AARP
=========OTHER (01)CIGNA
99750159MEDICAID (05)NH 
=========OTHER (01)AETNA US HEALTHCARE
=========OTHER (01)ANTHEM BLUE CROSS
=========OTHER (01)SEACOAST HOSPICE
=========OTHER (01)HEALTH AMERICA
=========OTHER (01)AMERICAN
=========OTHER (01)UNICARE
=========OTHER (01)BANKER'S LIFE & CASUALTY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093769408
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201831461840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 1 + 4 + 6 + 1 + 8 + 4 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1093769408 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730309485 JENNIFER LEIGH GELINAS OTRL
Individual
Occupational Therapist188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1619212859 JESSICA LEE OTR/L
Individual
Occupational Therapist188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1023353109 LINDSAY ENGEL PTA
Individual
Physical Therapy Assistant188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1730424250MS. SHERI PHILLIPS P.T.
Individual
Physical Therapist188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1114263480MS. JOAN FRANCES DUFFY PHYSICAL THERAPIST
Individual
Physical Therapist188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2537
1407109234 AMANDA SMITH MS CCC SLP
Individual
Speech-Language Pathologist188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1053710327MISS MEREDITH VIANO-CARTER
Individual
Occupational Therapy Assistant188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1427457795 COLLINE DREYFUSS COTA
Individual
Occupational Therapy Assistant188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1154867000MR. PETER J BOSCKETTI MS OTR/L
Individual
Occupational Therapist188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1962943803 HENRY CHARLES MEMMESHEIMER III PTA
Individual
Physical Therapy Assistant188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1235687658 JENNA ADAMS N.P.
Individual
Nurse Practitioner (Family)188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1871917062MRS. LINDSEY M GAGNE OTR/L
Individual
Occupational Therapist188 JONES AVE CLIPPER HARBOR CENTER
PORTSMOUTH, NH 03801
(603) 431-2530
1578073102 VICTORIA PEKARSKI
Individual
Speech-Language Pathologist188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1518466721 KRISTEN BLANCHARD RN, BSN, APRN
Individual
Nurse Practitioner (Adult Health)188 JONES AVE
PORTSMOUTH, NH 03801
(401) 601-8050
1700131141 CHELSEA RENE PETTIBONE MS-SLP
Individual
Speech-Language Pathologist188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1497429476 SARAH FRENCH SLP
Individual
Speech-Language Pathologist188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1801417019 SHELLEY LYNN FOSTER APRN
Individual
Nurse Practitioner (Family)188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1639771009PEAK HEALTHCARE AT PORTSMOUTH LLC
Organization
Skilled Nursing Facility188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1982206355PEAK HEALTHCARE AT PORTSMOUTH LLC
Organization
Assisted Living Facility188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530
1083458608 KAITLIN ELIZABETH STOLBERG COHEN
Individual
Nurse Practitioner (Family)188 JONES AVE
PORTSMOUTH, NH 03801
(603) 431-2530

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093769408, enumerated in the NPI registry as an "organization" on May 20, 2006

The provider is located at 188 Jones Ave Portsmouth, Nh 03801 and the phone number is (603) 431-2530

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.