WEBSTER HOUSE NPI 1386766624

Residential Treatment Facility, Emotionally Disturbed Children in Manchester, NH

NPI 1386766624 Organization Residential Treatment Facility, Emotiona...

About WEBSTER HOUSE

Webster House is a provider established in Manchester, New Hampshire specializing in residential treatment facility, emotionally disturbed children. The NPI number of Webster House is 1386766624 and was assigned on April 2007. The practitioner's primary taxonomy code is 322D00000X with license number 1128 (NH). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Louis F Catano (Executive Director)

NPI

1386766624

Provider NameWEBSTER HOUSE
Provider Location Address135 WEBSTER ST MANCHESTER, NH 03104
Provider Mailing Address135 WEBSTER ST MANCHESTER, NH 03104
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-06-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code322D00000X
ClassificationResidential Treatment Facility, Emotionally Disturbed Children
TypeResidential Treatment Facilities
License No.1128
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

WEBSTER HOUSE
135 WEBSTER ST
MANCHESTER, NH
ZIP 03104
Phone: (603) 622-8013
Fax: (603) 625-6020

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Mailing Address

WEBSTER HOUSE
135 WEBSTER ST
MANCHESTER, NH
ZIP 03104
Phone: (603) 622-8013
Fax: (603) 625-6020



Authorized Official

Authorized Official NameMR. LOUIS F CATANO
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(603) 622-8013

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2396OTHER (01)NH
30007077MEDICAID (05)NH

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.