LANGDON PLACE OF EXETER
NPI 1194772731
Assisted Living Facility in Exeter, NH
- Organization
- Assisted Living Facility
- CLIA Number: 30D1008505
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 01-21-2027
About LANGDON PLACE OF EXETER
This page provides the complete NPI Profile along with additional information for Langdon Place Of Exeter, a provider established in Exeter, New Hampshire operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1194772731 assigned on May 2006. The practitioner's primary taxonomy code is 310400000X with license number 02694 (NH). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Langdon Place Of Exeter. The authorized official of this NPI record is William A Mathies (President/director)
- NPI
- 1194772731 Verify this NPI
- Provider Legal Name
- SUNBRIDGE HEALTHCARE CORPORATION
- Other Organization Name
- LANGDON PLACE OF EXETER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 17 HAMPTON RD EXETER, NH 03833
- Location Phone
- (603) 772-5251
- Location Fax
- (603) 778-1024
- Mailing Address
- 101 SUN AVE NE COMPLIANCE DEPARTMENT ALBUQUERQUE, NM 87109
- Mailing Phone
- (505) 468-5604
- Mailing Fax
- (505) 468-4681
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-28-2006
- Last Update Date
- 09-29-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 02694
- License State
- NH
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 311500000X | Nursing & Custodial Care Facilities | Alzheimer Center (Dementia Center) | 02694 (NH) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 30D1008505
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- January 22, 2025
- Certificate Expiration Date
- January 21, 2027
- Laboratory Director
- DENISE PETTY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Langdon Place Of Exeter to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194772731, enumerated as an "organization" on May 28, 2006.
The provider is located at 17 HAMPTON RD EXETER, NH 03833 and the phone number is (603) 772-5251.
Assisted Living Facility with taxonomy code 310400000X.
