Provider Demographics
NPI: | 1780736504 |
---|---|
Name: | WAYPOINT |
Entity type: | Organization |
Organization Name: | WAYPOINT |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CFO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ANTHONY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CHEEK |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 603-518-4113 |
Mailing Address - Street 1: | PO BOX 448 |
Mailing Address - Street 2: | |
Mailing Address - City: | MANCHESTER |
Mailing Address - State: | NH |
Mailing Address - Zip Code: | 03105-0448 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 603-518-4000 |
Mailing Address - Fax: | 603-666-4571 |
Practice Address - Street 1: | 464 CHESTNUT ST |
Practice Address - Street 2: | |
Practice Address - City: | MANCHESTER |
Practice Address - State: | NH |
Practice Address - Zip Code: | 03101-1804 |
Practice Address - Country: | US |
Practice Address - Phone: | 603-518-4000 |
Practice Address - Fax: | 603-666-4571 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-18 |
Last Update Date: | 2018-11-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health | Group - Multi-Specialty | |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
No | 374U00000X | Nursing Service Related Providers | Home Health Aide | Group - Multi-Specialty | |
No | 376J00000X | Nursing Service Related Providers | Homemaker | Group - Multi-Specialty | |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
No | 163W00000X | Nursing Service Providers | Registered Nurse | Group - Multi-Specialty | |
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 372600000X | Nursing Service Related Providers | Adult Companion | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NH | 30853867 | Medicaid | |
NH | 30850595 | Medicaid | |
NH | 00000712 | Medicaid | |
NH | 30531858 | Medicaid | |
NH | 30007802 | Medicaid |