The Granite House Sober Living, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE GRANITE HOUSE SOBER LIVING, LLC

Practice address

35 W Broadway
Derry, NH 03038-2375

Phone

(603) 328-8601

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Tammy Quattrocchi

Title

Director of Compliance

Phone

(603) 328-8601

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Blaisdell, APRN

  • Family Nurse Practitioner
  • Wolfeboro, NH
  • NPI 1588052237
  NPD (past)
• Susana Lugo, M.D.

  • Psychiatry Physician
  • Nashua, NH
  • NPI 1609946763
  NPD (past)
• Michael A Bell, M.D.

  • Emergency Medicine Physician
  • Brunswick, ME
  • NPI 1316967375
  NPD (past)

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1376175976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MANOR PKWY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792841",
            "telephone_number": "603-328-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W BROADWAY",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382375",
            "telephone_number": "603-328-8601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030382305",
            "country_code": "US",
            "telephone_number": "603-328-8601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE GRANITE HOUSE SOBER LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "QUATTROCCHI",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "603-328-8601"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO OPERATE - SUBSTANCE USE DISORDER RES TREATMENT",
            "identifier": "04710",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Network",
            "affiliation": "N",
            "address_1": "35 W Broadway",
            "city": "Derry",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030382375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven Taylor, MD
• Teachabal Moments Behavior Therapy LLC
• Tender Care Home Nursing Services, Inc
• Tender Care Home Nursing Services, Inc
• Tender Care Incorporated
• The Mental Health Ctr for Southern New Hampshire
• The Upper Room, a Family Resource Center
• Thi of New Hampshire at Derry, LLC (Pleasant Valley Nursing Center)
• Kristen Button Thibodeau, PSYD
• Anne Meredith Thomassen, APRN,NP-C

• Substance Abuse Rehabilitation Facility in Derry, NH
• Providers in Derry, NH by specialty
• Substance Abuse Rehabilitation Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.