HABIT OPCO, LLC (NPI# 1033629100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033629100 |
| Entity Type | Organization |
| Organization Name | HABIT OPCO, LLC |
| Other Organization Name | HABIT OPCO-WEST LEBANON |
| Practice Address |
254 Plainfield Rd West Lebanon NH 03784-2001 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 6032982146 |
| Practice Fax Number | 6032982149 |
| Mailing Telephone | 7607100819 |
| Mailing Fax Number | 8775520439 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Authorized Official Name | PETER MORRIS (PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 6157211297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
200603 | NH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Habit OPCO-West Lebanon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386888279 | Habit Opco, LLC | Clinic/Center | 111 Highway 35, Suite 7, Cliffwood, NJ 07721-1515 | 2009-04-23 |
| 1912155516 | Habit Opco, LLC | Clinic/Center | 16 Town Crier Drive, Brattleboro, VT 05304 | 2008-09-08 |
| 1023175072 | Habit Opco, LLC | Clinic/Center | 511 East Columbus Ave., Springfield, MA 01105 | 2007-01-02 |
| 1639689292 | Habit Opco, LLC | Clinic/Center | 1 Main St Lowr, South Amboy, NJ 08879-1142 | 2017-10-09 |
| 1861902926 | Habit Opco, LLC | Clinic/Center | 16 Town Crier Dr, Brattleboro, VT 05301-8669 | 2017-10-03 |
| 1043720113 | Habit Opco, LLC | Clinic/Center | 20 Market St, Manchester, NH 03101-1957 | 2017-10-03 |
| Street Address |
254 PLAINFIELD RD |
| City | WEST LEBANON |
| State | NH |
| Zip Code | 03784-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427394519 | Mac Newman | Counselor | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2012-12-18 |
| 1063011930 | Emily Cummings | Psychologist | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2020-10-22 |
| 1306444104 | Tara Hepler | Counselor | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2020-10-14 |
| 1386266153 | Abigail Mcrae | Counselor | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2020-05-14 |
| 1821634163 | Corrinne Vonkahle | Counselor | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2019-11-21 |
| 1861038580 | Shelly Becker | Counselor | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2019-11-19 |
| 1811542905 | Michelle Greene | Counselor | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2019-08-06 |
| 1508335522 | Robert Hutchinson IIi | Counselor | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2018-11-20 |
| 1790264257 | Megan Gaudette | Counselor | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2018-08-07 |
| 1407341241 | Faith Dubois | Counselor | 254 Plainfield Rd, West Lebanon, NH 03784-2001 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313637 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 262 Planfield Road, West Lebanon, NH 03784 | 2020-10-15 |
| 1851776108 | Jessica Michelle Eid | Optometrist | 10 Benning St Ste 10, West Lebanon, NH 03784 | 2015-07-29 |
| 1972666774 | Richard Daniel Blake | Chiropractor | 8 Glen Road, Powerhouse Mall, W Lebanon, NH 03784 | 2006-12-19 |
| 1629159629 | Linda M Wierwille | Marriage & Family Therapist | Child and Family Services 3 Abbott Avenue, West Lebanon Plaza, West Lebanon, NH 03784 | 2006-10-17 |
| 1154352284 | K Mart Corp | Pharmacy | Rte 12 A, West Lebanon, NH 03784 | 2006-07-06 |
| 1770057572 | Angelica Ema Walsh | Physician Assistant | 24 Airport Rd, West Lebanon, NH 03784 | 2019-01-15 |
| 1477077790 | Alexandra Culver | Pharmacist | 3 Airport Rd, West Lebanon, NH 03784 | 2017-07-28 |
| 1215204961 | Maine Professional Opticians | Hearing Instrument Specialist | 8 Glen Rd, 23 Power House Mall, West Lebanon, NH 03784 | 2011-11-23 |
| 1487734190 | Jennifer R Kravitz | Physical Therapist | 103 S Main St, Green Mountain Physical Therapy Lnc, W Lebanon, NH 03784 | 2006-10-17 |
| 1982252805 | Michelle Kathryn Grojean | Speech-Language Pathologist | 55 Sachem Cir, West Lebanon, NH 03784-1029 | 2019-09-04 |
| Find all providers in zip 03784 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861617318 | Metro Treatment of New Hampshire, Lp | Clinic/Center | 1076 W Swanzey Rd, Swanzey, NH 03446-3219 | 2007-04-17 |
| 1295224178 | Metro Treatment of New Hampshire, Lp | Clinic/Center | 880 Central St Ste 10, Franklin, NH 03235-2040 | 2018-05-06 |
| 1043720113 | Habit Opco, LLC | Clinic/Center | 20 Market St, Manchester, NH 03101-1957 | 2017-10-03 |
| City | WEST LEBANON |
| Zip Code | 03784 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.