Active NPI
New Hampshire Womans Christian Temperance Union
Doing business as Boylston Home
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Manchester, NH
National Provider Identifier
1295857811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 1060
- Legal business name
- NEW HAMPSHIRE WOMANS CHRISTIAN TEMPERANCE UNION
- Doing business as
- Boylston Home
- Practice address
- 86 Mammoth Rd
Manchester, NH 03109-4300 - Phone
- (603) 622-2313
- Fax
- (603) 622-5366
- NPI assigned
- Apr 4, 2007
- Last updated
- Aug 22, 2020
- 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
- Mrs. Naida Jan Beal
- Title
- Bookkeeper
- Phone
- (603) 434-6936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 1060 | NH | Primary |
Addresses
Primary practice location
86 Mammoth Rd
Manchester, NH 03109-4300
Mailing address
86 Mammoth Rd
Manchester, NH 03109-4300
Phone (603) 622-2313
Other names 1
- Boylston Home
National Provider Directory
National Provider DirectoryLocations
86 Mammoth Rd
Manchester, NH 03109
Phone (603) 622-2313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295857811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 MAMMOTH RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031094300",
"telephone_number": "603-622-2313",
"fax_number": "603-622-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 MAMMOTH RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031094300",
"telephone_number": "603-622-2313",
"fax_number": "603-622-5366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HAMPSHIRE WOMANS CHRISTIAN TEMPERANCE UNION",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BEAL",
"authorized_official_first_name": "NAIDA",
"authorized_official_middle_name": "JAN",
"authorized_official_title_or_position": "BOOKKEEPER",
"authorized_official_telephone_number": "603-434-6936",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NH",
"license": "1060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Boylston Home",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.