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DOVER CHILDRENS HOME NPI 1053599274


NPI Information

NPI: 1053599274
Provider Name: DOVER CHILDRENS HOME
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization

CLIA Number: 30D2137591

Address:
207 LOCUST ST
DOVER, NH
ZIP 03820
Phone: (603) 742-4289
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DOVER CHILDRENS HOME is a residential treatment facility emotionally disturbed children in Dover, NH. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. DOVER CHILDRENS HOME NPI is 1053599274. The provider is registered as an organization entity type.

The provider's business location address is:

207 LOCUST ST
DOVER, NH
ZIP 03820-039
Phone: (603) 742-4289
Fax: (603) 742-2057

The provider's authorized official is Donna E. Coraluzzo .
The authorized official title is Executive Director and has the following contact phone number (603) 742-4289.

The CLIA number assigned to this NPI record is 30D2137591 - other - residential group home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 2/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health1063NEW HAMPSHIRENo
2322D00000XResidential Treatment Facility, Emotionally Disturbed Children1063NEW HAMPSHIREYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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