Basic Information
Provider Information
NPI: 1386105690
EntityType: 2
ReplacementNPI:  
OrganizationName: CONTINUUM CARE OF NEW HAMPSHIRE, LLC
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Mailing Information
Address1: 500 FAULCONER DR STE 200
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229035089
CountryCode: US
TelephoneNumber: 4349779711
FaxNumber: 4349779715
Practice Location
Address1: 7 WALL ST
Address2:  
City: WINDHAM
State: NH
PostalCode: 030871663
CountryCode: US
TelephoneNumber: 5104999977
FaxNumber: 5103806631
Other Information
ProviderEnumerationDate: 03/28/2019
LastUpdateDate: 07/24/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: HUNTER
AuthorizedOfficialFirstName: JOHN
AuthorizedOfficialMiddleName: BRADLEY
AuthorizedOfficialTitleorPosition: PRESIDENT & CEO
AuthorizedOfficialTelephone: 4349779711
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 07/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251G00000X  Y AgenciesHospice Care, Community Based 

No ID Information.


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