NPIMap

Organization Active NPI

Sobriety Centers of New Hampshire

  • Substance Abuse Rehabilitation Facility
  • Antrim, NH
National Provider Identifier
1376088724
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
04192 Issued in NH
Legal business name
SOBRIETY CENTERS OF NEW HAMPSHIRE
Practice address
55 Main Street
Antrim, NH 03440
Phone
(603) 365-8335
NPI assigned
Dec 21, 2016
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Robert Draper
Title
Owner/President
Phone
(603) 913-4683

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X 04192 NH Primary

Addresses

Primary practice location

55 Main Street
Antrim, NH 03440

Mailing address

55 Main St
Antrim, NH 03440
Phone (603) 280-4380

Other identifiers 1

IdentifierTypeStateIssuer
3107782MedicaidNH

National Provider Directory

National Provider Directory
Tax ID family
Sobriety Centers of New Hampshire3 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1376088724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "03440",
            "telephone_number": "603-280-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MAIN STREET",
            "city": "ANTRIM",
            "state": "NH",
            "postal_code": "03440",
            "telephone_number": "603-365-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRIETY CENTERS OF NEW HAMPSHIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2022-04-06",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "603-913-4683"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NH",
            "license": "04192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3107782",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antrim, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.