Organization Active NPI

Nic 15 Pines of New Market Leasing LLC

Doing business as The Pines of Newmarket

  • Assisted Living Facility
  • Newmarket, NH
National Provider Identifier
1134545742
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
02897 Issued in NH
Legal business name
NIC 15 PINES OF NEW MARKET LEASING LLC
Doing business as
The Pines of Newmarket
Practice address
9 Grant Rd
Newmarket, NH 03857-2195
Phone
(603) 659-6000
NPI assigned
Mar 7, 2014
Last updated
Mar 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Paul Boethel
Title
Ceo
Phone
(469) 304-5033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 02897 NH Primary

Addresses

Primary practice location

9 Grant Rd
Newmarket, NH 03857-2195

Mailing address

2901 Dallas Pkwy
380
Plano, TX 75093-5980
Phone (469) 304-5033

Other names 1

  • The Pines of Newmarket Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1134545742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 DALLAS PKWY",
            "address_2": "380",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935980",
            "telephone_number": "469-304-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GRANT RD",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038572195",
            "telephone_number": "603-659-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIC 15 PINES OF NEW MARKET LEASING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "BOETHEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-304-5033"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "02897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pines of Newmarket",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newmarket, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.