Organization Active NPI

Ascentria Community Services, Inc

  • Community/Behavioral Health Agency
  • Concord, NH
National Provider Identifier
1760601017
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
51854 Issued in NH
Legal business name
ASCENTRIA COMMUNITY SERVICES, INC
Practice address
261 Sheep Davis Road
Suite a-1
Concord, NH 03301
Phone
(603) 224-8111
Fax
(603) 224-0798
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Ms. Angela Bovill
Title
Ceo and President
Phone
(774) 243-3900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 51854 NH Primary
Community/Behavioral Health Agency 251S00000X 58964 NH

Addresses

Primary practice location

261 Sheep Davis Road
Suite a-1
Concord, NH 03301

Mailing address

261 Sheep Davis Road
Suite a-1
Concord, NH 03301
Phone (603) 224-8111

Other identifiers 1

IdentifierTypeStateIssuer
30852339MedicaidNH

Other names 1

  • Lutheran Community Services of New Hampshire, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Ascentria Community Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1760601017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 SHEEP DAVIS ROAD",
            "address_2": "SUITE A-1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-224-8111",
            "fax_number": "603-224-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 SHEEP DAVIS ROAD",
            "address_2": "SUITE A-1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-224-8111",
            "fax_number": "603-224-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENTRIA COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "BOVILL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "774-243-3900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NH",
            "license": "51854",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NH",
            "license": "58964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30852339",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Community Services of New Hampshire, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.