Four Winds Community

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

FOUR WINDS COMMUNITY

Practice address

1172 Gibbons Highway
Wilton, NH 03086

Phone

(603) 878-2325

Fax

(603) 878-4388

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Paul Martin

Title

President

Phone

(603) 878-2325

Specialties & licenses 2

Addresses

Other names 1

• FOUR WINDS FOUNDATION Former legal business name

Locations

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1558085605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 COLBURN ROAD",
            "city": "TEMPLE",
            "state": "NH",
            "postal_code": "030844307",
            "telephone_number": "603-878-2325",
            "fax_number": "603-878-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 GIBBONS HIGHWAY",
            "city": "WILTON",
            "state": "NH",
            "postal_code": "03086",
            "telephone_number": "603-878-2325",
            "fax_number": "603-878-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR WINDS COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-878-2325"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUR WINDS FOUNDATION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melissa Butt
• Roni A Conlon, NURSE PRACTITIONER
• Heather Corriveau, ATC
• Dorothea P. Fong, LMT, NHD
• Cynthia Diane Foss
• Clinton C. Guiry, DMD
• Katie Hiers, MS
• Sara Jackson
• Marilyn Jonas, M.S, CCC-SLP
• Tristen Leigh Kessler, M.ED. CCC-SLP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wilton, NH
• Providers in Wilton, NH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.