NPIMap

Organization Active NPI

State of New Hampshire

  • Mental Illness Community Based Residential Treatment Facility
  • Concord, NH
National Provider Identifier
1043334626
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
STATE OF NEW HAMPSHIRE
Practice address
99 Pleasant St
Howard Recreation Center
Concord, NH 03301-3852
Phone
(603) 271-5261
Fax
(603) 271-5729
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dennis M. D'Ovidio, MSW
Title
Director Transitional Housing Servi
Phone
(603) 271-5390

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

99 Pleasant St
Howard Recreation Center
Concord, NH 03301-3852

Mailing address

99 Pleasant St
Howard Recreation Center
Concord, NH 03301-3852
Phone (603) 271-5261

Other identifiers 2

IdentifierTypeStateIssuer
30005102MedicaidNH
99590015MedicaidNH

Other names 1

  • NHH Transitional Housing Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Hampshire Public Health Laboratories9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1043334626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 PLEASANT ST",
            "address_2": "HOWARD RECREATION CENTER",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013852",
            "telephone_number": "603-271-5261",
            "fax_number": "603-271-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PLEASANT ST",
            "address_2": "HOWARD RECREATION CENTER",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013852",
            "telephone_number": "603-271-5261",
            "fax_number": "603-271-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW HAMPSHIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "D'OVIDIO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR TRANSITIONAL HOUSING SERVI",
        "authorized_official_telephone_number": "603-271-5390",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005102",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99590015",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHH Transitional Housing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.