MALLEY FARM BOYS HOME INC. (NPI# 1376756528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376756528 |
| Entity Type | Organization |
| Organization Name | MALLEY FARM BOYS HOME INC. |
| Practice Address |
250 Indigo Hill Rd Somersworth NH 03878-2917 |
| Practice Telephone | 6036925479 |
| Practice Fax Number | 6036925956 |
| Mailing Telephone | 6036925479 |
| Mailing Fax Number | 6036925956 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK H SIPPLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6036925479 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1077 | NH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30830125 | 05 | |
| NH | 30007100 | 05 |
| Street Address |
250 INDIGO HILL RD |
| City | SOMERSWORTH |
| State | NH |
| Zip Code | 03878-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207395 | Foojan Ghahramani | Counselor | Hcrc, 200 Nh-108, Somersworth, NH 03878 | 2019-07-19 |
| 1649760422 | Tanya Lee Thompson | Counselor | 200 Nh-108, Somersworth, NH 03878 | 2018-05-16 |
| 1427588177 | Tri City Counseling | Clinic/Center | 150 West High St, Somersworth, NH 03878 | 2017-06-15 |
| 1952780405 | Stephanie Slate | Dentist | 158c Route 108, Somersworth, NH 03878 | 2015-05-29 |
| 1528446085 | Ann F Fisher | Nurse Practitioner | 296 Maine St, Haverhilll, MA 03878 | 2015-05-15 |
| 1235567264 | Wentworth Surgery Center, LLC | Clinic/Center | 6 Works Way, Somersworth, NH 03878 | 2013-10-30 |
| 1255601241 | Seacoast Business & Health Clinic Inc | Physical Therapist | 396 High St Ste 1, Seacoast Redicare, Somersworth, NH 03878 | 2012-01-06 |
| 1043505209 | Matthew Donohue | Physical Therapist | 7 Marsh Brook Drive, Suite 101, Somersworth, NH 03878 | 2011-06-16 |
| 1013050558 | Elizabeth Nelson | Registered Nurse | Goodwin Community Health 311 Route 108, Somersworth, NH 03878 | 2007-02-15 |
| 1811057581 | William C Brewster | Internal Medicine | 396 High Street, Seacoast Redicare, Somersworth, NH 03878 | 2006-12-11 |
| Find all providers in zip 03878 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043538523 | The Hartmann School | Residential Treatment Facility, Emotionally Disturbed Children | 768 Doetown Road, Rumney, NH 03266 | 2010-05-10 |
| 1235368218 | Spaulding Youth Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 130 Shedd Road, Northfield, NH 03276 | 2009-07-10 |
| 1720265531 | New England Salem Children's Trust | Residential Treatment Facility, Emotionally Disturbed Children | 768 Doetown Rd., Rumney, NH 03266 | 2008-01-23 |
| 1699951541 | Rolfe and Rumford Home | Residential Treatment Facility, Emotionally Disturbed Children | 23 Rundlett St, Concord, NH 03301-2223 | 2008-01-10 |
| 1396920344 | The Chase Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 698 Middle Rd, Portsmouth, NH 03801-4829 | 2008-01-08 |
| 1184812463 | Wediko Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 11 Bobcat Blvd, Windsor, NH 03244-7419 | 2007-10-11 |
| 1295936656 | Odyssey House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 124 Landing Rd, Hampton, NH 03842-2603 | 2007-05-31 |
| 1295936730 | Odyssey House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 30 Winnacunnet Rd, Hampton, NH 03842-2121 | 2007-05-31 |
| 1215159694 | Tobey School | Residential Treatment Facility, Emotionally Disturbed Children | 45 S Fruit St, Concord, NH 03301-2410 | 2007-05-03 |
| 1972729747 | Pine Haven Boys Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 133 River Rd, Allenstown, NH 03275-2362 | 2007-04-18 |
| Find all providers with the same taxonomy | ||||
| City | SOMERSWORTH |
| Zip Code | 03878 |
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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.