Pristine Endeavor LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PRISTINE ENDEAVOR LLC

Doing business as

pristine Endeavor

Practice address

150 Merrimack St
Hooksett, NH 03106-1417

Phone

(603) 860-5760

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Pradip Kumar Sitaula

Title

Member

Phone

(603) 860-5760

Specialties & licenses 1

Addresses

Other names 1

• pristine Endeavor Doing business as

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1184441446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MERRIMACK ST",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061417",
            "telephone_number": "603-860-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MERRIMACK ST",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061417",
            "telephone_number": "603-860-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE ENDEAVOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "SITAULA",
        "authorized_official_first_name": "PRADIP",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "603-860-5760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pristine Endeavor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eleni Peterson
• Sophia Ngoc Thuy Pham, RPH
• Linda M Pimenta, DNP, APRN
• Brianna Kate Pinson, PMHNP
• Erin Lee Plante, LICSW
• Uma Ramachandran, DMD
• Karen Elizabeth Revak, RDN
• Rise Above Care LLC
• Carole Robinson, DTR
• Safepath Home LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hooksett, NH
• Providers in Hooksett, NH by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.