Provider Demographics
NPI:1780569350
Name:CARE NEW HAMPSHIRE LLC
Entity type:Organization
Organization Name:CARE NEW HAMPSHIRE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOZLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-653-3167
Mailing Address - Street 1:11 GENERAL MILLER RD
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1212
Mailing Address - Country:US
Mailing Address - Phone:303-653-3167
Mailing Address - Fax:
Practice Address - Street 1:345 CILLEY RD STE 1
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-4500
Practice Address - Country:US
Practice Address - Phone:303-653-3167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty