The Family Resource Center at Gorham

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE FAMILY RESOURCE CENTER AT GORHAM

Practice address

164 Main St
Berlin, NH 03570-2477

Phone

(603) 466-5190

Fax

(603) 466-9022

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Gabrielle Flanders

Title

Executive Director

Phone

(603) 466-5190

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Family Resource Center at Gorham3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Family Resource Center at Gorham

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berlin, NH
  • NPI 1265353528
  NPD tax ID
• The Family Resource Center at Gorham

  • Community/Behavioral Health Agency
  • Berlin, NH
  • NPI 1669658092
  NPD tax ID

Locations

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1265858104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MAIN ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035702477",
            "telephone_number": "603-466-5190",
            "fax_number": "603-466-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MAIN ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035702477",
            "telephone_number": "603-466-5190",
            "fax_number": "603-466-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY RESOURCE CENTER AT GORHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "FLANDERS",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-466-5190"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076553",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Tardiff, AS
• Brianne Teaboldt, M.D.
• Ann Tenney, MS
• Veronica A Tennis, WAIVER
• The Family Resource Center at Gorham
• The Family Resource Center at Gorham
• Gayle M Theberge
• Matthew J Theberge, WAIVER
• Meghan Rae Theberge, WAIVER
• Courtney Christine Theriault

• In Home Supportive Care Agency in Berlin, NH
• Providers in Berlin, NH by specialty
• In Home Supportive Care Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.