Active NPI
Living Innovations Support Services, LLC
- Developmentally Disabled Services Day Training Agency
- Dover, NH
National Provider Identifier
1073633376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- LIVING INNOVATIONS SUPPORT SERVICES, LLC
- Practice address
- 273 Locust St Unit 2C
Dover, NH 03820-4570 - Phone
- (603) 422-7308
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Neal Ouellett
- Title
- President
- Phone
- (603) 422-7308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
273 Locust St Unit 2C
Dover, NH 03820-4570
Mailing address
273 Locust St Unit 2C
Dover, NH 03820-4570
Other practice location 1
535 Centerville Rd Ste P
Warwick, RI 02886-4486
Phone (401) 732-0304
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143210000 | Medicaid | ME | |
| 30590456 | Medicaid | NH | |
| 142930000 | Medicaid | ME |
Other names 1
- Living Innovations
National Provider Directory
National Provider Directory- Tax ID family
- Living Innovations Support Services LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Dover, NH
- NPI 1326378969
-
- Developmentally Disabled Services Day Training Agency
- Dover, NH
- NPI 1932749512
-
- Developmentally Disabled Services Day Training Agency
- Saco, ME
- NPI 1104750843
-
- Developmentally Disabled Services Day Training Agency
- Saco, ME
- NPI 1407612161
Locations
444 Stillwater Ave
Ste 208
Bangor, ME 04401
273 Locust St
Unit 2C
Dover, NH 03820
Phone (603) 422-7308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1073633376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 LOCUST ST UNIT 2C",
"city": "DOVER",
"state": "NH",
"postal_code": "038204570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 LOCUST ST UNIT 2C",
"city": "DOVER",
"state": "NH",
"postal_code": "038204570",
"telephone_number": "603-422-7308"
}
],
"practiceLocations": [
{
"address_1": "535 Centerville Rd Ste P",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028864486",
"country_code": "US",
"telephone_number": "401-732-0304",
"fax_number": "401-732-0307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIVING INNOVATIONS SUPPORT SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "OUELLETT",
"authorized_official_first_name": "NEAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "603-422-7308",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143210000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30590456",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142930000",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Living Innovations",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Living Innovations",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.