PHOENIX HOUSES OF NE (NPI# 1356441141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356441141 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOUSES OF NE |
| Other Organization Name | PHOENIX HOUSE DUBLIN CTR |
| Practice Address |
1 Pierce Rd Dublin NH 03444-0319 |
| Mailing Address |
131 Wayland Ave Providence RI 02906-4303 |
| Practice Telephone | 6035638501 |
| Practice Fax Number | 6035638296 |
| Mailing Telephone | 4013314250 |
| Mailing Fax Number | 4013315520 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PATRICK MCENEANEY (EXETUTIVE DIRECTOR) |
| Authorized Official Telephone | 4013314250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 02724 | NH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1009358 | 05 | |
| VT | BCBS | 80092 | 01 |
| Other Name | Type Code |
|---|---|
| phoenix House dublin Ctr | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOENIX HOUSES OF NEW ENGLAND, INC | 99 Wayland Ave Ste 100, Providence, RI 02906-4303 |
| Connecticut Business Registrations | PHOENIX HOUSES OF NEW ENGLAND, INC. | 99 Wayland Ave., Suite 100, Providence, RI 02906 |
| Street Address |
1 PIERCE RD |
| City | DUBLIN |
| State | NH |
| Zip Code | 03444-0319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467874206 | Alex Holding | Midwife | 144 Lake Rd, Dublin, NH 03444 | 2014-01-14 |
| 1659681450 | Rosemary Moran Weidner | Counselor | 65 Gerry Rd., Dublin, NH 03444-0080 | 2010-10-14 |
| 1164054417 | Children's Dentistry of Dublin Pllc | Dentist | 1283 Main St, Dublin, NH 03444-8242 | 2020-02-05 |
| 1689934945 | Marylou Cassidy | Nurse Practitioner | 1283 Main St Unit 6c, Dublin, NH 03444-8242 | 2012-05-21 |
| 1114536877 | Integrative Health & Wellness Clinic | Clinic/Center | 1283 Main St Unit 6c, Dublin, NH 03444-8242 | 2020-07-29 |
| 1942710330 | Granite Counseling and Psychological Services, LLC | Psychologist | 1281 Main St, Dublin, NH 03444-8245 | 2017-10-11 |
| 1073894804 | Ross A Garofalo | Counselor | 3 Pierce Rd, Dublin, NH 03444-8657 | 2011-09-07 |
| 1588114102 | Jane T Quigley | Counselor | 3 Pierce Rd, Dublin, NH 03444-8657 | 2016-10-06 |
| 1356768501 | Emily Wilkins | Counselor | 3 Pierce Rd, Dublin, NH 03444-8657 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902405 | Cunningham Counseling and Consultation, LLC | Clinic/Center | 5986 Abbey Church Rd, Dublin, OH 43017-2541 | 2020-11-02 |
| 1477152338 | Tyra Hughes Almaraz | Social Worker | 6923 Langmuir Ln, Dublin, CA 94568-1710 | 2020-10-21 |
| 1407454168 | Stion Lairsey | Pharmacist | 1100 Hillcrest Pkwy Ste A, Dublin, GA 31021-4373 | 2020-10-15 |
| 1972100287 | Emily Ann Harper | Nurse Practitioner | 6905 Hospital Dr Ste 200a, Dublin, OH 43016-1690 | 2020-10-08 |
| 1013514223 | Suzanne Francis Sharp | Homemaker | 6137 Holywell Dr, Dublin, OH 43017-2719 | 2020-10-01 |
| 1629685524 | Bridget Sally Joke Mbella | Homemaker | 5161 Foxtail Pine St, Dublin, OH 43016-7452 | 2020-09-25 |
| 1265049209 | Ayat Mustafa Aljawawdeh | Registered Nurse | 5072 Vinington Pl, Dublin, OH 43016-8010 | 2020-09-24 |
| 1285241281 | Jill Mcquaid | Home Health Aide | 7034 Scribner Way, Dublin, OH 43017-1089 | 2020-09-24 |
| 1558978676 | Hayley Star Westmeyer | Registered Nurse | 3170 Brightington Dr, Dublin, OH 43017-1796 | 2020-09-24 |
| 1073129342 | Monique Allen | Physical Therapy Assistant | 203 S Lancaster St, Dublin, GA 31021-3423 | 2020-09-21 |
| Find all providers in DUBLIN | ||||
| 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 |
|---|---|---|---|---|
| 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.