Granite Case Management, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

03221 Issued in NH

Legal business name

GRANITE CASE MANAGEMENT, LLC

Practice address

288 Baptist Hill Rd
Canterbury, NH 03224-2506

Phone

(603) 848-7345

NPI assigned

Jan 5, 2017

Last updated

Jan 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Ann Virtue

Title

President

Phone

(603) 848-7345

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1053856690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 BAPTIST HILL RD",
            "city": "CANTERBURY",
            "state": "NH",
            "postal_code": "032242506",
            "telephone_number": "603-848-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 BAPTIST HILL RD",
            "city": "CANTERBURY",
            "state": "NH",
            "postal_code": "032242506",
            "telephone_number": "603-848-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE CASE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "VIRTUE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-848-7345"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NH",
            "license": "03221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03221",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Canterbury, NH
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• Case Management Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.