Active NPI
Dismas Home of New Hampshire
- Substance Abuse Rehabilitation Facility
- Manchester, NH
National Provider Identifier
1871004291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D2131458 | Dismas Home of New Hampshire | Certificate of waiver | May 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Manchester, NH
- NPI 1366223901
-
- Addiction (Substance Use Disorder) Counselor
- Manchester, NH
- NPI 1487130720
-
- Clinical Social Worker
- Presque Isle, ME
- NPI 1558520304
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.