Active NPI
Terrace Communities Windham, LLC
- Assisted Living Facility
- Windham, NH
National Provider Identifier
1891908794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 02783
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02783 | Other | NH | NH LICENSE |
Other names 1
- Windham Terrace
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 |
|---|---|---|---|
| 30D2020618 | Windham Terrace Assisted Living | Certificate of waiver | Feb 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.