24 Old Etna Road Operations LLC
NPI 1538341367 · Skilled Nursing Facility · Lebanon, NH
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
24 Old Etna Road Operations LLC is a Skilled Nursing Facility organization in Lebanon, NH (NPI 1538341367).
Provider details
- NPI number
- 1538341367
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Berg, Secretary(610) 444-6350
- License
- 03702 (NH)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lebanon Center
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Frequently asked questions
- What is 24 Old Etna Road Operations LLC's NPI number?
- 24 Old Etna Road Operations LLC's National Provider Identifier (NPI) is 1538341367, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 24 Old Etna Road Operations LLC?
- 24 Old Etna Road Operations LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 24 Old Etna Road Operations LLC located?
- 24 Old Etna Road Operations LLC's practice location on file with NPPES is 24 Old Etna Rd, Lebanon, NH 03766-1937.
- What is 24 Old Etna Road Operations LLC's phone number?
- The practice phone number listed in the NPPES registry for 24 Old Etna Road Operations LLC is (603) 448-2234.
- Does 24 Old Etna Road Operations LLC accept Medicare?
- 24 Old Etna Road Operations LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 24 Old Etna Road Operations LLC?
- The authorized official listed on 24 Old Etna Road Operations LLC's NPPES record is Michael Berg, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 24 Old Etna Road Operations LLC's NPI active?
- Yes — 24 Old Etna Road Operations LLC's NPI (1538341367) is active in the NPPES registry as of the last update on 2025-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.