Active NPI
Region VIII, One Sky Community Services Inc.
- Case Management Agency
- Portsmouth, NH
National Provider Identifier
1568512770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99560058 | Medicaid | NH | |
| 99590008 | Medicaid | NH | |
| 99560018 | Medicaid | NH | |
| 60000008 | Medicaid | NH | |
| 99590028 | Medicaid | NH |
Other names 3
- Community Developmental Services Agency Inc.
- CDS, Region 8
- One Sky
National Provider Directory
National Provider DirectoryLocations
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.