Active NPI
WJ Adult Services LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Manchester, NH
National Provider Identifier
1225924129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.