NPIMap

Organization Active NPI

Living Innovations Support Services, LLC

  • Community/Behavioral Health Agency
  • Dover, NH
National Provider Identifier
1326378969
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIVING INNOVATIONS SUPPORT SERVICES, LLC
Practice address
273 Locust St Unit 2C
Dover, NH 03820-4570
Phone
(603) 422-7308
NPI assigned
Jan 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Mr. Neal Ouellett
Title
President
Phone
(603) 422-7308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

273 Locust St Unit 2C
Dover, NH 03820-4570

Mailing address

273 Locust St Unit 2C
Dover, NH 03820-4570
Phone (603) 422-7308

Other identifiers 2

IdentifierTypeStateIssuer
142930000MedicaidME
143210000MedicaidME

Other names 1

  • Living Innovations Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Living Innovations Support Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1326378969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 LOCUST ST UNIT 2C",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204570",
            "telephone_number": "603-422-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 LOCUST ST UNIT 2C",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204570",
            "telephone_number": "603-422-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING INNOVATIONS SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "OUELLETT",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-422-7308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142930000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143210000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Innovations",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.