NPIMap

Organization Active NPI

Harbor Homes, Inc.

  • Clinical Social Worker
  • Nashua, NH
National Provider Identifier
1386149482
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HARBOR HOMES, INC.
Practice address
10-12 Amherst St
Nashua, NH 03064-0306
Phone
(603) 821-7788
Fax
(603) 821-5620
NPI assigned
Mar 29, 2018
Organization subpart
Yes
Parent organization
HARBOR HOMES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Jamie Timmins
Title
Credentialing/ Contracting
Phone
(603) 882-3616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10-12 Amherst St
Nashua, NH 03064-0306

Mailing address

77 Northeastern Blvd
Nashua, NH 03062-3128
Phone (603) 882-3616

Other names 1

  • Harbor Care Health and Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harbor Homes Inc14 organizations share this tax ID, including this one
Part of
Harbor Homes Inc

Other organizations with this tax ID 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1386149482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NORTHEASTERN BLVD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623128",
            "telephone_number": "603-882-3616",
            "fax_number": "603-595-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-12 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030640306",
            "telephone_number": "603-821-7788",
            "fax_number": "603-821-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOMES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBOR HOMES, INC.",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "TIMMINS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CREDENTIALING/ CONTRACTING",
        "authorized_official_telephone_number": "603-882-3616"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Care Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harbor Care Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.