GREAT BAY SERVICES (NPI# 1780827881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780827881 |
| Entity Type | Organization |
| Organization Name | GREAT BAY SERVICES |
| Practice Address |
2061 Woodbury Ave Newington NH 03801-2804 |
| Practice Telephone | 6034362014 |
| Practice Fax Number | 6034363063 |
| Mailing Telephone | 6034362014 |
| Mailing Fax Number | 6034363063 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Authorized Official Name | MR. THOMAS J. SHAHEEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6034362014 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | ALLS2515 | ME | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MAINECARE | 138420000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427417104 | Great Bay Services | Intermediate Care Facility, Mentally Retarded | 23 Cataract Ave, Dover, NH 03820-3908 | 2016-02-23 |
| 1245626316 | Great Bay Services | Home Health | 61 Washington St Ste 4, Sanford, ME 04073-3093 | 2015-04-15 |
| 1952796864 | Great Bay Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 294 York St, York, ME 03909-1006 | 2015-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GREAT BAY SERVICES L.L.C. | 40 Colvin Avenue Suite 200, Albany, Ny 12206 |
| Street Address |
2061 WOODBURY AVE |
| City | NEWINGTON |
| State | NH |
| Zip Code | 03801-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699897215 | Cedarcrest, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 91 Maple Ave, Keene, NH 03431-1629 | 2007-04-04 |
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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.