Lake Sunapee Community Health Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

04162 Issued in NH

Legal business name

LAKE SUNAPEE COMMUNITY HEALTH SERVICES

Doing business as

Connecticut Valley Day Out Program

Practice address

958 John Stark Highway
Newport, NH 03773

Phone

(603) 526-4077

Fax

(603) 526-6208

NPI assigned

Jul 12, 2016

Last updated

Jul 12, 2016By 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

Monique F Malanga

Title

Cfo

Phone

(603) 526-4077

Specialties & licenses 1

Addresses

Other names 1

• Connecticut Valley Day Out Program Doing business as

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1871945089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2209",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032572209",
            "telephone_number": "603-526-4077",
            "fax_number": "603-526-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 JOHN STARK HIGHWAY",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "03773",
            "telephone_number": "603-526-4077",
            "fax_number": "603-526-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUNAPEE COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "MALANGA",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-526-4077"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NH",
            "license": "04162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Valley Day Out Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Holuszko, D.C.
• Gianna Lynn James, M.S. CCC-SLP
• Elaine Marie Johnson, NP
• Keady Family Practice
• Michael J Kricko, DO
• Caitlin Lennon, LICSW
• Lindsay Loerch, APRN
• Rebecca Lauren Lozmanoxman, CPNP
• Susan Paul Maerlender, LCMHC
• Katelyn L Maraldo

• Adult Day Care Clinic/Center in Newport, NH
• Providers in Newport, NH by specialty
• Adult Day Care Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.