Organization Active NPI

Our House for Girls

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Dover, NH
National Provider Identifier
1376665562
Registry record updated Jun 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
1064 Issued in NH
Legal business name
OUR HOUSE FOR GIRLS
Practice address
576 Central Ave
Dover, NH 03820-3431
Phone
(603) 742-2963
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2008

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

Authorized official

Name
Mrs. Susan Lavallee
Title
Durector
Phone
(603) 742-2963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 1064 NH Primary

Addresses

Primary practice location

576 Central Ave
Dover, NH 03820-3431

Mailing address

576 Central Ave
Dover, NH 03820-3431
Phone (603) 742-2963

Other identifiers 1

IdentifierTypeStateIssuer
30007717MedicaidNH

National Provider Directory

National Provider Directory

Locations

576 Central Ave
Dover, NH 03820
Phone (603) 742-2963

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214006400000",
    "number": "1376665562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203431",
            "telephone_number": "603-742-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203431",
            "telephone_number": "603-742-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE FOR GIRLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-06-21",
        "status": "A",
        "authorized_official_last_name": "LAVALLEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DURECTOR",
        "authorized_official_telephone_number": "603-742-2963",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NH",
            "license": "1064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007717",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 21, 2008; 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.