NORTH COUNTRY INDEPENDENT LIVING INC
NPI 1962070250
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in North Conway, NH

Active since June 14, 2021CLIA 30D2263663 · Waiver
2541 WHITE MOUNTAIN HWY STE 3, NORTH CONWAY, NH 03860(603) 356-0282(603) 356-0283 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North Country Independent Living Inc NPPES

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

NORTH COUNTRY INDEPENDENT LIVING INC (NPI 1962070250) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in North Conway, New Hampshire and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Garry Sherry, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1962070250
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNORTH COUNTRY INDEPENDENT LIVING INC
Location Address2541 WHITE MOUNTAIN HWY STE 3North Conway, NH 03860-5125
Mailing AddressPo Box 518North Conway, NH 03860-0518 · (603) 356-0282 · Fax (603) 356-0283
Fax(603) 356-0283
Organization SubpartNo
Authorized OfficialGarry SherryChief Executive Officer · (603) 356-0282
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
NPI 1962070250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
2541 WHITE MOUNTAIN HWY STE 3, North Conway, NH 03860

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 30D2263663

North Country Independent Living · Barrington, NH
Active · expires Jun 30, 2028
CLIA Number30D2263663
Laboratory TypeGroup Home
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorFreddi Gale
Laboratory Phone(603) 356-0282
Laboratory LocationNorth Country Independent Living909 Strafford Rd, Barrington, NH 03825
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 North Country Independent Living Inc's NPI number?

The NPI number for North Country Independent Living Inc is 1962070250. It was assigned to this organization in the NPPES registry on June 14, 2021.

Where is North Country Independent Living Inc located?

North Country Independent Living Inc is located at 2541 White Mountain Hwy Ste 3, North Conway, NH 03860. The listed phone number is (603) 356-0282.

What is North Country Independent Living Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does North Country Independent Living Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2263663) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Country Independent Living Inc was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.