BOYLSTON HOME (NEW HAMPSHIRE WOMANS CHRISTIAN TEMPERANCE UNION) NPI 1295857811

Residential Treatment Facility, Emotionally Disturbed Children in Manchester, NH

NPI 1295857811 Organization Residential Treatment Facility, Emotiona...

About BOYLSTON HOME (NEW HAMPSHIRE WOMANS CHRISTIAN TEMPERANCE UNION)

Boylston Home (new Hampshire Womans Christian Temperance Union) is a provider established in Manchester, New Hampshire specializing in residential treatment facility, emotionally disturbed children. The NPI number of Boylston Home (new Hampshire Womans Christian Temperance Union) is 1295857811 and was assigned on April 2007. The practitioner's primary taxonomy code is 322D00000X with license number 1060 (NH). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Boylston Home. The authorized official of this NPI record is Mrs. Naida Jan Beal (Bookkeeper)

NPI

1295857811

Provider NameBOYLSTON HOME (NEW HAMPSHIRE WOMANS CHRISTIAN TEMPERANCE UNION)
Provider Location Address86 MAMMOTH RD MANCHESTER, NH 03109
Provider Mailing Address86 MAMMOTH RD MANCHESTER, NH 03109
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameBOYLSTON HOME
Other Name TypeDoing Business As (3)
Enumeration Date04-04-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code322D00000X
ClassificationResidential Treatment Facility, Emotionally Disturbed Children
TypeResidential Treatment Facilities
License No.1060
License StateNH
Taxonomy DescriptionA 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.

Business Address

BOYLSTON HOME
86 MAMMOTH RD
MANCHESTER, NH
ZIP 03109
Phone: (603) 622-2313
Fax: (603) 622-5366

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Mailing Address

BOYLSTON HOME
86 MAMMOTH RD
MANCHESTER, NH
ZIP 03109
Phone: (603) 622-2313
Fax: (603) 622-5366



Authorized Official

Authorized Official NameMRS. NAIDA JAN BEAL
Authorized Official TitleBOOKKEEPER
Authorized Official Phone(603) 434-6936

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.