Granite Pathways, Inc.

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

GRANITE PATHWAYS, INC.

Practice address

1056 River Rd
Manchester, NH 03104-1958

Phone

(877) 369-0928

NPI assigned

Oct 24, 2018

Last updated

Nov 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mia Martin

Title

Cfo, Easter Seals Central Texas

Phone

(512) 615-6811

Specialties & licenses 3

Addresses

Tax ID family

Granite Pathways2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Granite Pathways

  • Community/Behavioral Health Agency
  • Portsmouth, NH
  • NPI 1760832505
  NPD tax ID

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1356818769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031041958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031041958",
            "telephone_number": "877-369-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE PATHWAYS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "CFO, EASTER SEALS CENTRAL TEXAS",
        "authorized_official_telephone_number": "512-615-6811"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Roy Grandgeorge, MD
• Stephanie Grandmont, RN
• Granite Community Living LLC
• Granite House of Help
• Granite House of Help LLC
• Granite State Anesthesia Partners, LLC
• Granite State Emergency Physicians PC
• Granite State Hearing Aid Center
• Granite State Internal Medicine
• Granite State Podiatry Associates PA

• Children's Substance Abuse Rehabilitation Facility in Manchester, NH
• Providers in Manchester, NH by specialty
• Children's Substance Abuse Rehabilitation Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.