Copp Hill Residential Home Fro Elderly

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

03543 Issued in NH

Legal business name

COPP HILL RESIDENTIAL HOME FRO ELDERLY

Practice address

176 Copp Hill Rd
Sanbornville, NH 03872

Phone

(603) 473-8908

Fax

(603) 473-8456

NPI assigned

Jan 28, 2010

Last updated

Jan 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheryl Lynn Doddrell

Title

Owner/Administrator

Phone

(603) 473-8908

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1831420074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 COPP HILL RD",
            "city": "SANBORNVILLE",
            "state": "NH",
            "postal_code": "038724700",
            "telephone_number": "603-473-8908",
            "fax_number": "603-473-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 COPP HILL RD",
            "city": "SANBORNVILLE",
            "state": "NH",
            "postal_code": "03872",
            "telephone_number": "603-473-8908",
            "fax_number": "603-473-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPP HILL RESIDENTIAL HOME FRO ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "DODDRELL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "603-473-8908"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NH",
            "license": "03543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis S Badman, MD
• David Andrew Bille, LMT
• Tammy J Canney
• Mary Elizabeth Casper, RN, NRP
• Leah Church
• Brooke Fortier Cournoyer, MSPT, DPT
• Michael Vancleef Delahunt, MD
• Heidi Dommers-Palladino, LMT
• Andrew Egan, OTR/L
• Family Chiropractic of Wakefield Corner, Inc

• Adult Care Home Facility in Sanbornville, NH
• Providers in Sanbornville, NH by specialty
• Adult Care Home Facility in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.