Provider Demographics
NPI:1578262317
Name:SUMMIT NEW HAMPSHIRE LLC
Entity Type:Organization
Organization Name:SUMMIT NEW HAMPSHIRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:THAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-232-7194
Mailing Address - Street 1:1750 ELM ST STE NO406
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2907
Mailing Address - Country:US
Mailing Address - Phone:603-232-7194
Mailing Address - Fax:
Practice Address - Street 1:1750 ELM ST STE NO406
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-2907
Practice Address - Country:US
Practice Address - Phone:603-232-7194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities