Westboro House Incorporated

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

02828 Issued in NH

Legal business name

WESTBORO HOUSE INCORPORATED

Practice address

11 Elm St W
West Lebanon, NH 03784-1609

Phone

(603) 298-8326

Fax

(603) 298-8326

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By 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

Mrs. Angela J Zizza

Title

Administrator

Phone

(603) 298-8326

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942424205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ELM ST W",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841609",
            "telephone_number": "603-298-8326",
            "fax_number": "603-298-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ELM ST W",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841609",
            "telephone_number": "603-298-8326",
            "fax_number": "603-298-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBORO HOUSE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIZZA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-298-8326",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NH",
            "license": "02828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30592069",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corrinne Vonkahle
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2138)
• Walgreen Co (Walgreens #09177)
• Angelica Ema Walsh, PA-C
• Cheryl Ann Waples, RPH
• Westboro House LLC
• Chrystal May White, RN
• Linda M Wierwille, ICLSW
• Savanna Woodford
• Kendra Alice Yakovleff, ADDICTION COUSELOR

• Assisted Living Facility in West Lebanon, NH
• Providers in West Lebanon, NH by specialty
• Assisted Living Facility in New Hampshire

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.