1396069977 NPI number — CHALMERS HOMES INC.

Table of content: (NPI 1396069977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396069977 NPI number — CHALMERS HOMES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHALMERS HOMES INC.
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:
PATIENT LIFTS OF NEW ENGLAND
Provider Other Organization Name Type Code:
3
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:
1396069977
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/25/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9 INDUSTRIAL WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATKINSON
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03811-2194
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-898-1205
Provider Business Mailing Address Fax Number:
603-898-5538

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45 PROGRESS PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARYLAND HEIGHTS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63043-3708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-692-9135
Provider Business Practice Location Address Fax Number:
314-692-7858
Provider Enumeration Date:
03/25/2010

Additional Information

Authorized Official

Authorized Official Last Name:
HALE
Authorized Official First Name:
ROBIN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
GENERAL MANAGER
Authorized Official Telephone Number:
603-898-1205

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 003105196 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1011237 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3910001 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30007009 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1527070 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1021709700001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 432418100 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".




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