NPIMap

Organization Active NPI

Monadnock Family Services

  • Developmentally Disabled Services Day Training Agency
  • Jaffrey, NH
National Provider Identifier
1083744148
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MONADNOCK FAMILY SERVICES
Practice address
22 North Street
Jaffrey, NH 03452-5340
Phone
(603) 532-2427
Fax
(603) 532-2429
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Gigi A Pratt
Title
Cfo
Phone
(603) 283-1657

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Adult Day Care Clinic/Center 261QA0600X NH

Addresses

Primary practice location

22 North Street
Jaffrey, NH 03452-5340

Mailing address

40 Avon St
Keene, NH 03431-3516
Phone (603) 283-1657

Other identifiers 1

IdentifierTypeStateIssuer
30005894MedicaidNH

Other names 1

  • Monadnock Adult Care Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D1006857Monadnock Adult Care Center22 North Street, Jaffrey, NH 03452Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Monadnock Family Services9 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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1083744148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AVON ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313516",
            "telephone_number": "603-283-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NORTH STREET",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034525340",
            "telephone_number": "603-532-2427",
            "fax_number": "603-532-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONADNOCK FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "GIGI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-283-1657"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005894",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monadnock Adult Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jaffrey, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.