National Provider Identifier Database

DEVELOPMENTAL SERVICES OF SULLIVAN COUNTY INC
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

DEVELOPMENTAL SERVICES OF SULLIVAN COUNTY, INC.
654 MAIN STREET
CLAREMONT, NH03743
Phone: 603-542-8706
Fax: 603-542-2729
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for DEVELOPMENTAL SERVICES OF SULLIVAN COUNTY, INC.

NPI Number 1295957561
Legal business name
LBN
DEVELOPMENTAL SERVICES OF SULLIVAN COUNTY, INC.
Authorized official MARK MILLS - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 05/03/2007
Last updated 03/15/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NH License #: 99560052
  • NH Medicaid: 30532133
  • NH Medicaid: 60000002
  • NH Medicaid: 99560008
  • NH Medicaid: 99560052
  • NH Medicaid: 99590002
  • NH Medicaid: 99590022

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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