Provider Demographics
NPI:1568512770
Name:REGION VIII, ONE SKY COMMUNITY SERVICES INC.
Entity Type:Organization
Organization Name:REGION VIII, ONE SKY COMMUNITY SERVICES INC.
Other - Org Name:ONE SKY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-436-6111
Mailing Address - Street 1:755 BANFIELD RD STE 3
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5647
Mailing Address - Country:US
Mailing Address - Phone:603-436-6111
Mailing Address - Fax:603-436-4622
Practice Address - Street 1:755 BANFIELD RD STE 3
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5647
Practice Address - Country:US
Practice Address - Phone:603-436-6111
Practice Address - Fax:603-436-4622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99560058Medicaid
NH99590008Medicaid
NH99560018Medicaid
NH60000008Medicaid
NH99590028Medicaid