Active NPI
Our House for Girls
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Dover, NH
National Provider Identifier
1376665562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 1064
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30007717 | Medicaid | NH |
National Provider Directory
National Provider DirectoryLocations
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.