1952341323 NPI number — THE HOMEMAKERS HEALTH SERVICES

Table of content: (NPI 1952341323)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952341323 NPI number — THE HOMEMAKERS HEALTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE HOMEMAKERS HEALTH SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THE HOMEMAKERS OF STRAFFORD COUNTY
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952341323
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/03/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
215 ROCHESTER HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03867-1701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-335-1770
Provider Business Mailing Address Fax Number:
603-822-2198

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
215 ROCHESTER HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03867-1701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-335-1770
Provider Business Practice Location Address Fax Number:
603-822-2198
Provider Enumeration Date:
06/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MORRISON
Authorized Official First Name:
HEIDI
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
603-335-1770

Provider Taxonomy Codes

  • Taxonomy code: 163WH0200X , with the licence number:  02565 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 02565 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QA0600X , with the licence number: 02610 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3071682 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3071683 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3077262 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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