DISMAS HOME OF NEW HAMPSHIRE (NPI# 1871004291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871004291 |
| Entity Type | Organization |
| Organization Name | DISMAS HOME OF NEW HAMPSHIRE |
| Practice Address |
102 4th St Manchester NH 03102-4540 |
| Practice Telephone | 6037823004 |
| Practice Fax Number | 6035188977 |
| Mailing Telephone | 6037823004 |
| Mailing Fax Number | 6035188977 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Authorized Official Name | MS. SARA JANE LUTAT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6037823004 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | NH | Residential Treatment Facilities |
| Street Address |
102 4TH ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03102-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130720 | Sara Jane Lutat | Counselor | 102 4th St, Manchester, NH 03102-4540 | 2018-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054249 | Aaa Home Health LLC | Home Health | 30 Greenview Drive Apt 33, Manchester, NH 03102 | 2020-08-20 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1184119869 | Allison Marie Doherty | Doula | 17 Davignon St, Manchester, NH 03102 | 2018-06-26 |
| 1215311345 | Families In Transition | Counselor | 307 Douglas St, Manchester, NH 03102 | 2015-07-18 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1922381144 | Caroline Ilene Ball | Pharmacist | 227 South Main Street, Manchester, NH 03102 | 2011-09-23 |
| 1225343346 | Peter Rella | Pharmacist | 577 Mast Road, Manchester, NH 03102 | 2010-08-12 |
| 1528206042 | Michael E. Dobrowolski Od,pa | Optometrist | 395 So Main Street, Manchester, NH 03102 | 2009-01-22 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| Find all providers in zip 03102 | ||||
| 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 |
|---|---|---|---|---|
| 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 | 03102 |
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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.