EASTER SEALS NEW HAMPSHIRE, INC

Provider Demographics

• NPI: 1730251430
• Name: EASTER SEALS NEW HAMPSHIRE, INC
• Entity type: Organization
• Organization Name: EASTER SEALS NEW HAMPSHIRE, INC
• Authorized Official - Title/Position: CHIEF ADMINISTRATION OFICER
• Authorized Official - First Name: JEFFREY
• Authorized Official - Last Name: ZWILLENBERG
• Authorized Official - Phone: 603-623-8863
• Mailing Address - Street 1: 555 AUBURN ST
• Mailing Address - City: MANCHESTER
• Mailing Address - State: NH
• Mailing Address - Zip Code: 03103-4803
• Mailing Address - Country: US
• Mailing Address - Phone: 603-623-8863
• Mailing Address - Fax: 603-625-1148
• Practice Address - Street 1: 555 AUBURN ST
• Practice Address - City: MANCHESTER
• Practice Address - State: NH
• Practice Address - Zip Code: 03103-4803
• Practice Address - Country: US
• Practice Address - Phone: 603-623-8863
• Practice Address - Fax: 603-625-1148
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-11-15
• Last Update Date: 2025-06-06

Provider Licenses

State	License ID	Taxonomies
		103K00000X, 2084N0400X, 225100000X, 225X00000X, 235Z00000X, 251E00000X, 251J00000X, 252Y00000X, 253Z00000X, 261QM0801X, 320600000X, 322D00000X, 343900000X, 261QD1600X
NH		261QD0000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	261QD1600X	Ambulatory Health Care Facilities	Clinic/Center	Developmental Disabilities	Group - Multi-Specialty
No	103K00000X	Behavioral Health & Social Service Providers	Behavior Analyst		Group - Multi-Specialty
No	2084N0400X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Neurology	Group - Multi-Specialty
No	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist		Group - Multi-Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Multi-Specialty
No	251E00000X	Agencies	Home Health		Group - Multi-Specialty
No	251J00000X	Agencies	Nursing Care		Group - Multi-Specialty
No	252Y00000X	Agencies	Early Intervention Provider Agency		Group - Multi-Specialty
No	253Z00000X	Agencies	In Home Supportive Care		Group - Multi-Specialty
No	261QD0000X	Ambulatory Health Care Facilities	Clinic/Center	Dental
No	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center	Mental Health (Including Community Mental Health Center)	Group - Multi-Specialty
No	320600000X	Residential Treatment Facilities	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Group - Multi-Specialty
No	322D00000X	Residential Treatment Facilities	Residential Treatment Facility, Emotionally Disturbed Children		Group - Multi-Specialty
No	343900000X	Transportation Services	Non-emergency Medical Transport (VAN)		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NH	3110359	Medicaid
NH	9776092	Other	AETNA
NH	612847	Other	TUFTS
NH	801116	Other	TUFTS
NH	3071602	Medicaid
NH	3075504	Medicaid
NH	3078269	Medicaid
NH	3078320	Medicaid
NH	3109010	Medicaid
NH	9776092	Other	AETNA
NH	3071310	Medicaid
NH	3071602	Medicaid
NH	3109010	Medicaid
NH	3071310	Medicaid
NH	801116	Other	TUFTS
NH	3080175	Medicaid
NH	30009932	Medicaid
NH	30831485	Medicaid
NH	304500	Medicare ID - Type Unspecified	MEDICARE A - CORF