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 |