Provider Demographics
NPI:1457149445
Name:SILVERBROOK
Entity type:Organization
Organization Name:SILVERBROOK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MACINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-630-2664
Mailing Address - Street 1:PO BOX 112
Mailing Address - Street 2:
Mailing Address - City:MEREDITH
Mailing Address - State:NH
Mailing Address - Zip Code:03253-0112
Mailing Address - Country:US
Mailing Address - Phone:603-630-2664
Mailing Address - Fax:
Practice Address - Street 1:164 OLD SPRINGFIELD RD
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:NH
Practice Address - Zip Code:03603-4504
Practice Address - Country:US
Practice Address - Phone:603-630-2664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility