ASCENTRIA COMMUNITY SERVICES INC NPI 1174769384

NPI Information

NPI: 1174769384
Provider Name: ASCENTRIA COMMUNITY SERVICES, INC

Former Legal Business Name: LUTHERAN COMMUNITY SERVICES OF MAINE, INC.

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
261 SHEEP DAVIS ROAD
SUITE A-1
CONCORD, NH
ZIP 03301
Phone: (603) 224-8111
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ASCENTRIA COMMUNITY SERVICES, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Concord, NH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ASCENTRIA COMMUNITY SERVICES, INC NPI is 1174769384. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lutheran Community Services Of Maine, Inc..

The provider's business location address is:

261 SHEEP DAVIS ROAD
SUITE A-1
CONCORD, NH
ZIP 03301
Phone: (603) 224-8111
Fax: (603) 224-0798

The provider's authorized official is Angela Bovill .
The authorized official title is Ceo And President and has the following contact phone number (774) 243-3900.

The enumeration date for this NPI number is 12/18/2008 and was last updated on 10/7/2014.

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 Code	Taxonomy Clasification	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness	MAINE	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MAINE	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	135130000	MEDICAID	MAINE
2	135130001	MEDICAID	MAINE
3	431742300	MEDICAID	MAINE
4	135130100	MEDICAID	MAINE

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: 5/5/2024

NPI Synchronization or Removal

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