NPIMap

Organization Active NPI

Addiction Wellness Center NH LLC

  • Adult Health Nurse Practitioner
  • Manchester, NH
National Provider Identifier
1639866197
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
ADDICTION WELLNESS CENTER NH LLC
Practice address
814 Elm St Ste 313
Manchester, NH 03101-2130
Phone
(603) 321-0084
NPI assigned
Apr 24, 2023
Last updated
May 8, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ADDICTION WELLNESS CENTER NH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Rachel Sagi
Title
Coo
Phone
(603) 321-0084

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adult Health Nurse Practitioner 363LA2200X Primary

Addresses

Primary practice location

814 Elm St Ste 313
Manchester, NH 03101-2130

Mailing address

1100 Business Pkwy S Ste 1
Westminster, MD 21157-3048
Phone (603) 321-0084

Other identifiers 1

IdentifierTypeStateIssuer
3142216MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241127000370 NH Part B Supplier - Clinic/Group Practice 0941735963 Receives reassigned benefits from 15 practitioners
Practice locations: Manchester, NH

National Provider Directory

National Provider Directory
Tax ID family
Addiction Wellness Center NH LLC2 organizations share this tax ID, including this one
Part of
Addiction Wellness Center NH LLC

Other organizations with this tax ID 1

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

Locations

35 Industrial Way
Ste 11B
Rochester, NH 03867
Phone (603) 321-0084

35 Industrial Way
Ste B
Rochester, NH 03867
Phone (443) 761-2248

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1639866197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BUSINESS PKWY S STE 1",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573048",
            "telephone_number": "603-321-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 ELM ST STE 313",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012130",
            "telephone_number": "603-321-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION WELLNESS CENTER NH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDICTION WELLNESS CENTER NH LLC",
        "enumeration_date": "2023-04-24",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "SAGI",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "603-321-0084"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3142216",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.