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DISMAS HOME OF NEW HAMPSHIRE
NPI 1871004291
Substance Abuse Rehabilitation Facility in Manchester, NH

Active since October 12, 2017CLIA 30D2131458 · Waiver
102 4TH ST, MANCHESTER, NH 03102(603) 782-3004(603) 255-3100 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dismas Home Of New Hampshire NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DISMAS HOME OF NEW HAMPSHIRE (NPI 1871004291) is a healthcare organization registered as a substance abuse rehabilitation facility in Manchester, New Hampshire and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Cheryll Ann Andrews, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1871004291
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDISMAS HOME OF NEW HAMPSHIRE
Location Address102 4TH STManchester, NH 03102-4540
Mailing Address102 4th StManchester, NH 03102-4540 · (603) 782-3004 · Fax (603) 518-8977
Phone(603) 782-3004
Fax(603) 255-3100
Organization SubpartNo
Authorized OfficialCheryll Ann AndrewsExecutive Director · (603) 782-3004
Enumeration DateOctober 12, 2017
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1871004291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
102 4TH ST, Manchester, NH 03102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, WellSense Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2131458

Dismas Home Of New Hampshire · Manchester, NH
Active · expires May 29, 2027
CLIA Number30D2131458
Laboratory TypePractitioner Other
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorCheryll A. Andrews
Laboratory Phone(603) 782-3004
Laboratory LocationDismas Home Of New Hampshire102 Fourth St, Manchester, NH 03102
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE BARBRIE
Counselor (Addiction (Substance Use Disorder))
102 4TH ST
MANCHESTER, NH 03102
Hillsborough County (603) 738-1863
SARA JANE LUTAT MSW, MLADC
Counselor (Addiction (Substance Use Disorder))
102 4TH ST
MANCHESTER, NH 03102
Hillsborough County (603) 782-3004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dismas Home Of New Hampshire's NPI number?

The NPI number for Dismas Home Of New Hampshire is 1871004291. It was assigned to this organization in the NPPES registry on October 12, 2017.

Where is Dismas Home Of New Hampshire located?

Dismas Home Of New Hampshire is located at 102 4th St, Manchester, NH 03102. The listed phone number is (603) 782-3004.

What is Dismas Home Of New Hampshire's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Dismas Home Of New Hampshire hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2131458) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dismas Home Of New Hampshire accept?

Health plans from Ambetter from NH Healthy Families and WellSense Health Plan list Dismas Home Of New Hampshire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dismas Home Of New Hampshire was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.