NPIMap

Organization Active NPI

Colonial Foxden

  • Assisted Living Facility
  • Sandown, NH
National Provider Identifier
1730578741
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
03996 Issued in NH
Legal business name
COLONIAL FOXDEN
Practice address
208 North Rd
Sandown, NH 03873-2003
Phone
(603) 877-6333
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Mark A QueirosNPI 1154729861
Title
Administrator
Phone
(603) 877-6333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 03996 NH Primary

Addresses

Primary practice location

208 North Rd
Sandown, NH 03873-2003

Mailing address

208 North Rd
Sandown, NH 03873-2003
Phone (603) 877-6333

National Provider Directory

National Provider Directory

Locations

208 North Rd
Sandown, NH 03873
Phone (603) 877-6333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1730578741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 NORTH RD",
            "city": "SANDOWN",
            "state": "NH",
            "postal_code": "038732003",
            "telephone_number": "603-877-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 NORTH RD",
            "city": "SANDOWN",
            "state": "NH",
            "postal_code": "038732003",
            "telephone_number": "603-877-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL FOXDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "QUEIROS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-877-6333"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "03996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.