NPIMap

Organization Active NPI

Lake Sunapee Community Health Services

  • Home Health Agency
  • New London, NH
National Provider Identifier
1134216849
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
03030 Issued in NH
Legal business name
LAKE SUNAPEE COMMUNITY HEALTH SERVICES
Practice address
107 Newport Road
New London, NH 03257-2209
Phone
(603) 526-4077
Fax
(603) 574-4343
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Mrs. Monique F Malanga
Title
Cfo
Phone
(603) 526-4077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 03030 NH Primary

Addresses

Primary practice location

107 Newport Road
New London, NH 03257-2209

Mailing address

PO Box 2209
107 Newport Road
New London, NH 03257-2209
Phone (603) 526-4077

Other identifiers 2

IdentifierTypeStateIssuer
30004854MedicaidNH
30005518MedicaidNH

National Provider Directory

National Provider Directory
Tax ID family
Ability Network5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1134216849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2209",
            "address_2": "107 NEWPORT ROAD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032572209",
            "telephone_number": "603-526-4077",
            "fax_number": "603-574-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NEWPORT ROAD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032572209",
            "telephone_number": "603-526-4077",
            "fax_number": "603-574-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUNAPEE COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "MALANGA",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-526-4077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NH",
            "license": "03030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004854",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005518",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.