Organization Active NPI

Region VIII, One Sky Community Services Inc.

  • Case Management Agency
  • Portsmouth, NH
National Provider Identifier
1568512770
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
REGION VIII, ONE SKY COMMUNITY SERVICES INC.
Practice address
755 Banfield Rd Ste 3
Portsmouth, NH 03801-5647
Phone
(603) 436-6111
Fax
(603) 436-4622
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Matt Cordaro
Title
Ceo
Phone
(603) 436-6111

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

755 Banfield Rd Ste 3
Portsmouth, NH 03801-5647

Mailing address

755 Banfield Rd Ste 3
Portsmouth, NH 03801-5647
Phone (603) 436-6111

Other identifiers 5

IdentifierTypeStateIssuer
99560058MedicaidNH
99590008MedicaidNH
99560018MedicaidNH
60000008MedicaidNH
99590028MedicaidNH

Other names 3

  • Community Developmental Services Agency Inc. Former legal business name
  • CDS, Region 8 Other name
  • One Sky Other name

National Provider Directory

National Provider Directory

Locations

755 Banfield Rd
Ste 3
Portsmouth, NH 03801
Phone (603) 436-6111

195 Hanover St
Ste 40
Portsmouth, NH 03801

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1568512770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 BANFIELD RD STE 3",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015647",
            "telephone_number": "603-436-6111",
            "fax_number": "603-436-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 BANFIELD RD STE 3",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015647",
            "telephone_number": "603-436-6111",
            "fax_number": "603-436-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION VIII, ONE SKY COMMUNITY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "CORDARO",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-436-6111"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99560058",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99590008",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99560018",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60000008",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99590028",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Developmental Services Agency Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CDS, Region 8",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "One Sky",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.