NPIMap

Organization Active NPI

Harbor Homes, Inc.

  • Public Health or Welfare Agency
  • Nashua, NH
National Provider Identifier
1679914519
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
HARBOR HOMES, INC.
Practice address
45 High St
Nashua, NH 03060-3312
Phone
(603) 821-7788
Fax
(603) 821-5620
NPI assigned
Jul 8, 2013
Organization subpart
Yes
Parent organization
HARBOR HOMES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Henry J Och
Title
President and Ceo
Phone
(603) 882-3616

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Public Health or Welfare Agency 251K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

45 High St
Nashua, NH 03060-3312

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140718000030 NH Part B Supplier - Clinic/Group Practice 4587714779 Receives reassigned benefits from 26 practitioners
Practice locations: Nashua, NH

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Harbor Homes Inc

Locations

45 High St
Nashua, NH 03060
Phone (603) 821-7788

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harbor Homes, Inc.Nashua, NH, CCN 301821 Federally qualified health center Other Mar 1, 1983

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1679914519",
    "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": "45 HIGH ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603312",
            "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": "2013-07-08",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "OCH",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "603-882-3616"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.