Provider Demographics
NPI:1609228188
Name:SHS NH, LLC
Entity Type:Organization
Organization Name:SHS NH, LLC
Other - Org Name:360 SHS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUBIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-801-1936
Mailing Address - Street 1:360 ROUTE 101
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5030
Mailing Address - Country:US
Mailing Address - Phone:603-801-1936
Mailing Address - Fax:
Practice Address - Street 1:360 ROUTE 101
Practice Address - Street 2:SUITE 3B
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5030
Practice Address - Country:US
Practice Address - Phone:603-801-1936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03859251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health