Organization Active NPI

Terrace Communities Windham, LLC

  • Assisted Living Facility
  • Windham, NH
National Provider Identifier
1891908794
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
02783 Issued in NH
Legal business name
TERRACE COMMUNITIES WINDHAM, LLC
Practice address
3 Church Rd
Windham, NH 03087-1640
Phone
(603) 437-4600
Fax
(603) 434-2228
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lynda Brislin
Title
Executive Director
Phone
(603) 437-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 02783 NH Primary

Addresses

Primary practice location

3 Church Rd
Windham, NH 03087-1640

Mailing address

3 Church Road
Windham, NH 03087
Phone (603) 437-4600

Other identifiers 1

IdentifierTypeStateIssuer
02783OtherNHNH LICENSE

Other names 1

  • Windham Terrace Doing business as

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
30D2020618Windham Terrace Assisted Living3 Church Rd, Windham, NH 03087Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory

Locations

3 Church Rd
Windham, NH 03087
Phone (366) 330-1563

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891908794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHURCH ROAD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "03087",
            "telephone_number": "603-437-4600",
            "fax_number": "603-434-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CHURCH RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871640",
            "telephone_number": "603-437-4600",
            "fax_number": "603-434-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE COMMUNITIES WINDHAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRISLIN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-437-4600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "02783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH LICENSE",
            "identifier": "02783",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windham Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.