Provider Demographics
| NPI: | 1730251430 |
|---|---|
| Name: | EASTER SEALS NEW HAMPSHIRE, INC |
| Entity type: | Organization |
| Organization Name: | EASTER SEALS NEW HAMPSHIRE, INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CHIEF OPERATING OFICER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | CATHERINE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | KUHN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 603-623-8863 |
| Mailing Address - Street 1: | 555 AUBURN ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MANCHESTER |
| Mailing Address - State: | NH |
| Mailing Address - Zip Code: | 03103-4803 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 603-623-8863 |
| Mailing Address - Fax: | 603-625-1148 |
| Practice Address - Street 1: | 555 AUBURN ST |
| Practice Address - Street 2: | |
| Practice Address - City: | MANCHESTER |
| Practice Address - State: | NH |
| Practice Address - Zip Code: | 03103-4803 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 603-623-8863 |
| Practice Address - Fax: | 603-625-1148 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-11-15 |
| Last Update Date: | 2025-09-15 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| 235Z00000X, 322D00000X, 320600000X, 253Z00000X, 343900000X, 103K00000X, 225100000X, 251J00000X, 251E00000X, 2084N0400X, 225X00000X, 261QM0801X, 252Y00000X, 261QD1600X | ||
| NH | 261QD0000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | Group - Multi-Specialty | |
| No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | Group - Multi-Specialty | |
| No | 253Z00000X | Agencies | In Home Supportive Care | Group - Multi-Specialty | |
| No | 261QD0000X | Ambulatory Health Care Facilities | Clinic/Center | Dental | Group - Multi-Specialty |
| No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | Group - Multi-Specialty | |
| No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 251J00000X | Agencies | Nursing Care | Group - Multi-Specialty | |
| No | 251E00000X | Agencies | Home Health | ||
| No | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Group - Multi-Specialty |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | Group - Multi-Specialty |
| No | 252Y00000X | Agencies | Early Intervention Provider Agency | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NH | 3110359 | Medicaid | |
| NH | 9776092 | Other | AETNA |
| NH | 612847 | Other | TUFTS |
| NH | 801116 | Other | TUFTS |
| NH | 3071602 | Medicaid | |
| NH | 3075504 | Medicaid | |
| NH | 3078269 | Medicaid | |
| NH | 3078320 | Medicaid | |
| NH | 3109010 | Medicaid | |
| NH | 9776092 | Other | AETNA |
| NH | 3071310 | Medicaid | |
| NH | 3071602 | Medicaid | |
| NH | 3109010 | Medicaid | |
| NH | 3071310 | Medicaid | |
| NH | 801116 | Other | TUFTS |
| NH | 3080175 | Medicaid | |
| NH | 30009932 | Medicaid | |
| NH | 30831485 | Medicaid | |
| NH | 304500 | Medicare ID - Type Unspecified | MEDICARE A - CORF |