Active NPI
Ascentria Community Services, Inc
- Community/Behavioral Health Agency
- Concord, NH
National Provider Identifier
1760601017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 51854
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30852339 | Medicaid | NH |
Other names 1
- Lutheran Community Services of New Hampshire, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Ascentria Community Services Inc
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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.