LIVE FREE RECOVERY SERVICES, LLC (NPI# 1205461886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205461886 |
| Entity Type | Organization |
| Organization Name | LIVE FREE RECOVERY SERVICES, LLC |
| Practice Address |
881 Marlboro Rd Keene NH 03431-5617 |
| Mailing Address |
22 Souhegan Dr Merrimack NH 03054-3626 |
| Practice Telephone | 6034383276 |
| Mailing Telephone | 6034383276 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | RYAN GAGNE (CEO) |
| Authorized Official Telephone | 6034383276 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
881 MARLBORO RD |
| City | KEENE |
| State | NH |
| Zip Code | 03431-5617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015788 | Ryan Gagne | Clinic/Center | 881 Marlboro Rd, Keene, NH 03431-5617 | 2020-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153443 | County of Cheshire | Case Manager/Care Coordinator | 12 Court Street, Finance Department, Keene, NH 03431 | 2020-10-29 |
| 1316506686 | Lynn Marie Noonan | Dental Hygienist | 69v Island Street, Keene, NH 03431 | 2019-06-11 |
| 1467925164 | Barbara B. Dematteo, Pt | Physical Therapist | 70 Island Street, Keene, NH 03431 | 2019-01-04 |
| 1275065591 | Kyle Harriman James | Emergency Medicine | 590 Court St., Keene, NH 03431 | 2017-03-28 |
| 1932584372 | Sarah Gornall | Occupational Therapist | 298 Main St., Keene, NH 03431 | 2015-07-28 |
| 1457748618 | Cassandra Curtis | Massage Therapist | 103 Roxbury Street, Suite # 200d, Keene, NH 03431 | 2015-04-24 |
| 1518354455 | Allen Penrod | Counselor | 170 Emerald Street, Suite 203, Keene, NH 03431 | 2015-04-17 |
| 1447652615 | Cheshire Health Services Inc | Clinic/Center | 149 Emerald St Ste L, Keene, NH 03431 | 2014-09-19 |
| 1053710541 | Louise Howlett | Marriage & Family Therapist | 19 Federal St., Keene, NH 03431 | 2014-08-20 |
| 1861816076 | Christine Fleming | Physical Therapy Assistant | 197 Water Street, Keene, NH 03431 | 2014-02-07 |
| Find all providers in zip 03431 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316310949 | Phoenix House of New England | Substance Abuse Rehabilitation Facility | 12 Kingsbury St, Keene, NH 03431-3825 | 2015-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952925984 | Bridge Street Recovery LLC | Substance Abuse Rehabilitation Facility | 608 Francestown Road, Nh Route 47, Bennington, NH 03442 | 2020-06-05 |
| 1255817607 | King Healthcare Group LLC | Substance Abuse Rehabilitation Facility | 26 E Pearl St, Nashua, NH 03060-3459 | 2018-07-18 |
| 1578078234 | Arden Wellness LLC | Substance Abuse Rehabilitation Facility | 15 Ermer Rd Unit 201, Salem, NH 03079-1273 | 2017-12-04 |
| 1407367691 | North Country Health Consortium | Substance Abuse Rehabilitation Facility | 2957 Main Street, Route 302, Bethlehem, NH 03574 | 2017-10-16 |
| 1871004291 | Dismas Home of New Hampshire | Substance Abuse Rehabilitation Facility | 102 4th St, Manchester, NH 03102-4540 | 2017-10-12 |
| 1053852145 | 4th Dimension Recovery | Substance Abuse Rehabilitation Facility | 1000 Elm St, Manchester, NH 03101-1730 | 2017-03-09 |
| 1932649076 | Amor Irizarry,ladc Counseling Services | Substance Abuse Rehabilitation Facility | 75 Old Rochester Rd, Ctr Barnstead, NH 03225-3929 | 2017-03-07 |
| 1174070080 | Hope On Haven Hill, Inc | Substance Abuse Rehabilitation Facility | 326 Rochester Hill Rd, Rochester, NH 03867 | 2016-09-08 |
| 1619335171 | Green Mountain Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 27 Hazel Dr, Hampstead, NH 03841-2338 | 2016-01-29 |
| 1467833103 | The Process Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 41 Sagamore Park Rd, Hudson, NH 03051-4915 | 2015-06-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.