Organization Active NPI

Impress Healthcare Corporation

  • In Home Supportive Care Agency
  • Manchester, NH
National Provider Identifier
1336778208
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IMPRESS HEALTHCARE CORPORATION
Practice address
814 Elm St Ste 307
Manchester, NH 03101-2130
Phone
(603) 239-0025
NPI assigned
Apr 3, 2020
Last updated
Jun 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Mr. Jeffrey Crocker, MSM
Title
President
Phone
(603) 239-0025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

814 Elm St Ste 307
Manchester, NH 03101-2130

Mailing address

814 Elm St Ste 307
Manchester, NH 03101-2130
Phone (603) 239-0025

Other names 1

  • Impress Care Other name

National Provider Directory

National Provider Directory

Locations

814 Elm St
Ste 307
Manchester, NH 03101
Phone (603) 239-0025

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1336778208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 ELM ST STE 307",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012130",
            "telephone_number": "603-239-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 ELM ST STE 307",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012130",
            "telephone_number": "603-239-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRESS HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-239-0025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impress Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Impress Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 14, 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.