Organization Active NPI

Kimi Nichols Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Plaistow, NH
National Provider Identifier
1922719111
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
KIMI NICHOLS CENTER
Practice address
17 East Rd
Plaistow, NH 03865-3115
Phone
(603) 382-8586
Fax
(603) 382-1850
NPI assigned
Dec 8, 2022
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Mr. Joseph T Freeman
Title
Executive Director
Phone
(603) 382-8586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

17 East Rd
Plaistow, NH 03865-3115

Mailing address

17 East Rd
Plaistow, NH 03865-3115
Phone (603) 382-8586

National Provider Directory

National Provider Directory

Locations

17 East Rd
Plaistow, NH 03865
Phone (603) 382-8586

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1922719111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EAST RD",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038653115",
            "telephone_number": "603-382-8586",
            "fax_number": "603-382-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EAST RD",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038653115",
            "telephone_number": "603-382-8586",
            "fax_number": "603-382-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMI NICHOLS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-382-8586",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaistow, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.