THE FAMILY RESOURCE CENTER AT GORHAM (NPI# 1265858104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265858104 |
| Entity Type | Organization |
| Organization Name | THE FAMILY RESOURCE CENTER AT GORHAM |
| Practice Address |
123 Main St Gorham NH 03581-1659 |
| Practice Telephone | 6034665190 |
| Practice Fax Number | 6034669022 |
| Mailing Telephone | 6034665190 |
| Mailing Fax Number | 6034669022 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Authorized Official Name | MR. JAMES E MICHALIK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6034665190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | NH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3072441 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669658092 | The Family Resource Center At Gorham | Clinic/Center | 123 Main St, Gorham, NH 03581-1659 | 2008-01-16 |
| Street Address |
123 MAIN ST |
| City | GORHAM |
| State | NH |
| Zip Code | 03581-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730729633 | Tina Marie Holmes | Community/Behavioral Health | 123 Main St, Gorham, NH 03581-1659 | 2020-01-09 |
| 1588832000 | Gorham Randolph Shelburne Cooperative | Local Education Agency (LEA) | 123 Main St, Gorham, NH 03581-1659 | 2008-02-19 |
| 1851569388 | Dummer School District | Local Education Agency (LEA) | 123 Main St, Gorham, NH 03581-1659 | 2008-02-19 |
| 1295903722 | Milan School District | Local Education Agency (LEA) | 123 Main St, Gorham, NH 03581-1659 | 2008-02-19 |
| 1376711804 | Errol School District | Local Education Agency (LEA) | 123 Main St, Gorham, NH 03581-1659 | 2008-02-19 |
| 1669658092 | The Family Resource Center At Gorham | Clinic/Center | 123 Main St, Gorham, NH 03581-1659 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932456530 | Amy Lynn Galipeau | Hearing Instrument Specialist | 20 Glen Rd, Gorham, NH 03581 | 2012-08-14 |
| 1003070855 | Derek C Eastman | Physical Therapist | 38 Alpine Street, Gorham, NH 03581 | 2008-07-10 |
| 1003097668 | Todd Butler | Speech-Language Pathologist | 6 Howland Avenue, Gorham, NH 03581 | 2007-11-23 |
| 1235354978 | Nancy Gordon | Physical Therapist | 25 Mt. Carter Road, Gorham, NH 03581 | 2007-04-16 |
| 1740282136 | Sherrill Tracy | Family Medicine | 2 Broadway Street, Gorham, NH 03581 | 2005-08-15 |
| 1073040234 | Maryanne Eileen Christiansen | Physician Assistant | 2 Broadway Street, Gorham, NH 03581 | 2017-05-18 |
| 1720157225 | Town of Gorham | Ambulance | 347 Main St, Gorham, NH 03581 | 2006-11-07 |
| 1114288255 | Susan Martlock-j&s Care Enterprise | In Home Supportive Care | 2 1st St, Gorham, NH 03581-1007 | 2012-06-05 |
| 1003030552 | Jessica Cunningham | Specialist | 10 Madison Ave, Gorham, NH 03581-1107 | 2007-04-13 |
| 1568974996 | Kyle Matthew Boisselle | Specialist/Technologist | 18 Jewel St, Gorham, NH 03581-1211 | 2017-10-25 |
| Find all providers in zip 03581 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164030029 | Services Aid Home Care LLC | In Home Supportive Care | 25 Bramblewood Ln, Gorham, ME 04038-1711 | 2020-07-16 |
| 1124663919 | Good Life Services LLC | In Home Supportive Care | 79 State St, Gorham, ME 04038-1012 | 2019-11-15 |
| 1689109019 | Deborah Ann Cooper | In Home Supportive Care | 46 Farrington Road, Gorham, ME 04038 | 2017-04-24 |
| 1104057942 | Maureen Wood | In Home Supportive Care | 34 County Rd, Gorham, ME 04038-1911 | 2009-07-28 |
| 1235367012 | Melonie Doucette | In Home Supportive Care | 87 Buck St, Gorham, ME 04038-2290 | 2009-06-30 |
| 1013557040 | Lighthouse Elder Care, Inc. | In Home Supportive Care | 502 Main St, Gorham, ME 04038-1334 | 2020-01-07 |
| 1114288255 | Susan Martlock-j&s Care Enterprise | In Home Supportive Care | 2 1st St, Gorham, NH 03581-1007 | 2012-06-05 |
| 1922374321 | In Home Senior Services, Inc. | In Home Supportive Care | 658 Main St, Gorham, ME 04038-2621 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778208 | Impress Healthcare Corporation | In Home Supportive Care | 814 Elm St Ste 307, Manchester, NH 03101-2130 | 2020-04-03 |
| 1215562020 | Way Maker Home Care LLC | In Home Supportive Care | 66 Hanover St Ste 101, Manchester, NH 03101-2230 | 2020-03-12 |
| 1285285734 | Independence Care of New Hampshire LLC | In Home Supportive Care | 10 Ferry St Ste 408, Concord, NH 03301-5019 | 2019-09-26 |
| 1548811631 | Home Care of New England LLC | In Home Supportive Care | 155 Fleet St, Portsmouth, NH 03801-4050 | 2019-09-20 |
| 1821650953 | Nursefitbody, LLC | In Home Supportive Care | 150 Nashua Rd Ste C, Londonderry, NH 03053-3642 | 2019-06-28 |
| 1699331645 | Lasting Memories Home Care LLC | In Home Supportive Care | 438 North Rd, Candia, NH 03034-2755 | 2019-05-15 |
| 1639630858 | Bloom and Shine Services LLC | In Home Supportive Care | 90 Airport Rd Ste 27, Concord, NH 03301-5326 | 2019-03-29 |
| 1770042202 | No Place Like Home LLC | In Home Supportive Care | 106 1/2 S State St, Concord, NH 03301-3587 | 2019-03-14 |
| 1528533221 | Care Haven LLC | In Home Supportive Care | 127 Main St Ste 14, Nashua, NH 03060-2711 | 2018-10-09 |
| 1053892471 | Umbrella Investments, LLC | In Home Supportive Care | 3 Sanborn Rd Ste 3, Londonderry, NH 03053-2362 | 2018-08-23 |
| 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.