Organization Active NPI

WJ Adult Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Manchester, NH
National Provider Identifier
1225924129
Registry record updated Aug 8, 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
WJ ADULT SERVICES LLC
Practice address
248 Lake Ave Apt 2
Manchester, NH 03103-5469
Phone
(603) 932-2973
NPI assigned
Jun 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Jenny De la Rosa
Title
Chief Operating Officer
Phone
(603) 203-0833

Specialties & licenses 1

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

Addresses

Primary practice location

248 Lake Ave Apt 2
Manchester, NH 03103-5469

Mailing address

248 Lake Ave Apt 1
Manchester, NH 03103-5469
Phone (603) 932-2973

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1225924129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 LAKE AVE APT 1",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035469",
            "telephone_number": "603-932-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 LAKE AVE APT 2",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035469",
            "telephone_number": "603-932-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WJ ADULT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "603-203-0833"
    },
    "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 Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.