Organization Active NPI

Dynamic Residential Care, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Concord, NH
National Provider Identifier
1184591208
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DYNAMIC RESIDENTIAL CARE, LLC
Practice address
23 Canterbury Rd
Concord, NH 03301-5620
Phone
(405) 779-9222
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Ines Kageruka Rushimisha
Title
Business Manager/Member
Phone
(405) 779-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

23 Canterbury Rd
Concord, NH 03301-5620

Mailing address

PO Box 1312
Concord, NH 03302-1312

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1184591208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1312",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033021312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CANTERBURY RD",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015620",
            "telephone_number": "405-779-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "KAGERUKA RUSHIMISHA",
        "authorized_official_first_name": "INES",
        "authorized_official_title_or_position": "BUSINESS MANAGER/MEMBER",
        "authorized_official_telephone_number": "405-779-9222"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.