Organization Active NPI

Dismas Home of New Hampshire

  • Substance Abuse Rehabilitation Facility
  • Manchester, NH
National Provider Identifier
1871004291
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
DISMAS HOME OF NEW HAMPSHIRE
Practice address
102 4TH St
Manchester, NH 03102-4540
Phone
(603) 782-3004
Fax
(603) 255-3100
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Ms. Cheryll Ann Andrews
Title
Executive Director
Phone
(603) 782-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NH Primary

Addresses

Primary practice location

102 4TH St
Manchester, NH 03102-4540

Mailing address

102 4TH St
Manchester, NH 03102-4540
Phone (603) 782-3004

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2131458Dismas Home of New Hampshire102 Fourth St, Manchester, NH 03102Certificate of waiverMay 29, 2027

National Provider Directory

National Provider Directory

Locations

102 4th St
Manchester, NH 03102
Phone (603) 738-1863

Practitioners & affiliated clinicians

Practitioners 3

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": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1871004291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 4TH ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024540",
            "telephone_number": "603-782-3004",
            "fax_number": "603-518-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 4TH ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024540",
            "telephone_number": "603-782-3004",
            "fax_number": "603-255-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISMAS HOME OF NEW HAMPSHIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "CHERYLL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-782-3004",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.