Provider Demographics
NPI:1821210360
Name:NH CATHOLICCHARITIES, INC
Entity Type:Organization
Organization Name:NH CATHOLICCHARITIES, INC
Other - Org Name:DBA ST. CHARLES CHILDREN'S HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SISTER MARY
Authorized Official - Middle Name:AGNES
Authorized Official - Last Name:DOBROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-332-4768
Mailing Address - Street 1:19 GRANT STREET
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-3001
Mailing Address - Country:US
Mailing Address - Phone:603-332-4768
Mailing Address - Fax:603-332-3948
Practice Address - Street 1:19 GRANT STREET
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-3001
Practice Address - Country:US
Practice Address - Phone:603-332-4768
Practice Address - Fax:603-332-3948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1075251S00000X, 322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30007645Medicaid
NH30850606Medicaid