PINE HAVEN BOYS CENTER, INC. (NPI# 1972729747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972729747 |
| Entity Type | Organization |
| Organization Name | PINE HAVEN BOYS CENTER, INC. |
| Practice Address |
133 River Rd Allenstown NH 03275-2362 |
| Mailing Address |
133 River Rd Po Box 162 Allenstown NH 03275-2362 |
| Practice Telephone | 6034857141 |
| Practice Fax Number | 6034857142 |
| Mailing Telephone | 6034857141 |
| Mailing Fax Number | 6034857142 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN B. VITALI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6034857141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1073 | NH | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30007076 | 05 |
| Street Address |
133 RIVER RD |
| City | ALLENSTOWN |
| State | NH |
| Zip Code | 03275-2362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386108710 | Great Brook Emergency Medical Services LLC | Ambulance | 340 Commerce Way, Pembroke, NH 03275 | 2019-01-30 |
| 1497284756 | Chantal Georgianna Filiau | Specialist/Technologist | 431 Micol Rd., Pembroke, NH 03275 | 2017-06-08 |
| 1215242714 | Guy Edward Croasdale | Pharmacist | 46 Allenstown Rd, Allenstown, NH 03275 | 2010-08-10 |
| 1679758965 | Joyce Ann Pollinger | Counselor | 133 River Rd., Alenstown, NH 03275 | 2008-01-04 |
| 1649492265 | Spectrum Lifecare Services | Durable Medical Equipment & Medical Supplies | 626 B Buck St, Pembroke, NH 03275 | 2007-05-03 |
| 1275551053 | Vincent Emil Greco | Chiropractor | 210 Pembroke Street, Pembroke, NH 03275 | 2006-07-18 |
| 1770893406 | Tri-town Family Dental LLC | Dentist | 50 Pinewood Rd, Allenstown, NH 03275 | 2010-10-15 |
| 1770795858 | Fredrick M. Vega, D.d.s., P.C. | Clinic/Center | 50 Pinewood Road, Allenstown, NH 03275 | 2007-05-03 |
| 1437228863 | Charles E. Albee, Dmd, Pa Suncook Family Dentistry | Dentist | 119 Pembroke St, Suncook, NH 03275 | 2006-11-07 |
| 1942864806 | Affinity Care Nh, LLC | Home Health Aide | 15 Pine St, Pembroke, NH 03275-1132 | 2019-04-26 |
| Find all providers in zip 03275 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043538523 | The Hartmann School | Residential Treatment Facility, Emotionally Disturbed Children | 768 Doetown Road, Rumney, NH 03266 | 2010-05-10 |
| 1235368218 | Spaulding Youth Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 130 Shedd Road, Northfield, NH 03276 | 2009-07-10 |
| 1720265531 | New England Salem Children's Trust | Residential Treatment Facility, Emotionally Disturbed Children | 768 Doetown Rd., Rumney, NH 03266 | 2008-01-23 |
| 1699951541 | Rolfe and Rumford Home | Residential Treatment Facility, Emotionally Disturbed Children | 23 Rundlett St, Concord, NH 03301-2223 | 2008-01-10 |
| 1396920344 | The Chase Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 698 Middle Rd, Portsmouth, NH 03801-4829 | 2008-01-08 |
| 1184812463 | Wediko Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 11 Bobcat Blvd, Windsor, NH 03244-7419 | 2007-10-11 |
| 1295936656 | Odyssey House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 124 Landing Rd, Hampton, NH 03842-2603 | 2007-05-31 |
| 1295936730 | Odyssey House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 30 Winnacunnet Rd, Hampton, NH 03842-2121 | 2007-05-31 |
| 1376756528 | Malley Farm Boys Home Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 250 Indigo Hill Rd, Somersworth, NH 03878-2917 | 2007-05-07 |
| 1215159694 | Tobey School | Residential Treatment Facility, Emotionally Disturbed Children | 45 S Fruit St, Concord, NH 03301-2410 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | ALLENSTOWN |
| Zip Code | 03275 |
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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.