NPIMap

Organization Active NPI

Cedarcrest Center for Children With Disabilities

  • Nursing Facility/Intermediate Care Facility
  • Keene, NH
National Provider Identifier
1033448675
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
01709 Issued in NH
Legal business name
CEDARCREST CENTER FOR CHILDREN WITH DISABILITIES
Practice address
91 Maple Ave
Keene, NH 03431-1629
Phone
(603) 358-3384
Fax
(603) 358-6485
NPI assigned
Dec 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Catherine Gray, NHA
Title
Ceo
Phone
(603) 358-3384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 01709 NH Primary

Addresses

Primary practice location

91 Maple Ave
Keene, NH 03431-1629

Mailing address

91 Maple Ave
Keene, NH 03431-1629
Phone (603) 358-3384

National Provider Directory

National Provider Directory

Locations

91 Maple Ave
Keene, NH 03431
Phone (603) 358-3384

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1033448675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MAPLE AVE",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311629",
            "telephone_number": "603-358-3384",
            "fax_number": "603-358-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MAPLE AVE",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311629",
            "telephone_number": "603-358-3384",
            "fax_number": "603-358-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARCREST CENTER FOR CHILDREN WITH DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-358-3384",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NH",
            "license": "01709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.