MANCHESTER ALCOHOLISM REHABILITATION CENTER (NPI# 1720151830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720151830 |
| Entity Type | Organization |
| Organization Name | MANCHESTER ALCOHOLISM REHABILITATION CENTER |
| Other Organization Name | FARNUM CENTER |
| Practice Address |
140 Queen City Ave Manchester NH 03103-7122 |
| Mailing Address |
Po Box 4982 Manchester NH 03108-4982 |
| Practice Telephone | 6036223020 |
| Mailing Telephone | 6036223020 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-02-19 |
| Authorized Official Name | ELIN TREANOR (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6036238863 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Farnum Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14 Holy Cross Rd, Franklin, NH 032351910 | 6032639359 | |
| 27 Holy Cross Rd, Franklin, NH 032351910 | 6039342020 | |
| 700 Lake Ave Ste 2, Manchester, NH 031032734 | 6036223020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063912459 | Manchester Alcoholism Rehabilitation Center | Family Medicine | 700 Lake Ave Ste 2, Manchester, NH 03103-2734 | 2018-02-13 |
| Street Address |
140 QUEEN CITY AVE |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103-7122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841392024 | Ivy Joyce Gabai | Nurse Practitioner | 140 Queen City Ave, Manchester, NH 03103-7122 | 2006-09-01 |
| 1104446863 | Carey L Clark | Counselor | 140 Queen City Ave, Manchester, NH 03103-7122 | 2020-04-23 |
| 1104353697 | Margaret E Soles | Counselor | 140 Queen City Ave, Manchester, NH 03103-7122 | 2017-05-16 |
| 1467991711 | Sara Jastrzebski | Counselor | 140 Queen City Ave, Manchester, NH 03103-7122 | 2017-02-20 |
| 1477092096 | Kaitlyn Connaghan | Counselor | 140 Queen City Ave, Manchester, NH 03103-7122 | 2017-02-15 |
| 1326599507 | Janna Hruby | Counselor | 140 Queen City Ave, Manchester, NH 03103-7122 | 2016-10-21 |
| 1962870303 | Lisa Jones | Counselor | 140 Queen City Ave, Manchester, NH 03103-7122 | 2015-09-02 |
| 1326427188 | Sheila Maher | Counselor | 140 Queen City Ave, Manchester, NH 03103-7122 | 2015-05-27 |
| 1326426024 | Kathleen Murphy | Counselor | 140 Queen City Ave, Manchester, NH 03103-7122 | 2015-05-13 |
| 1023495439 | Shirley Tomlinson | Counselor | 140 Queen City Ave, Manchester, NH 03103-7122 | 2015-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1396238051 | Bouncing Back Counseling Inc | Substance Abuse Rehabilitation Facility | 86 Highway 638 Ste 1, Manchester, KY 40962-7289 | 2018-06-07 |
| 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 |
| 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 |
| 1174949283 | Tri-county Community Action Inc | Substance Abuse Rehabilitation Facility | 2957 Main Street, Bethlehem, NH 03574-0717 | 2014-03-13 |
| 1114106770 | Giving It Up, Corp | Substance Abuse Rehabilitation Facility | 8 Merrill Industrial Dr, Hampton, NH 03842-4901 | 2007-10-31 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
Please comment or provide details below to improve the information on MANCHESTER ALCOHOLISM REHABILITATION CENTER.
| 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.