Provider Demographics
NPI:1386766624
Name:WEBSTER HOUSE
Entity type:Organization
Organization Name:WEBSTER HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:CATANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-622-8013
Mailing Address - Street 1:135 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2511
Mailing Address - Country:US
Mailing Address - Phone:603-622-8013
Mailing Address - Fax:603-625-6020
Practice Address - Street 1:135 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-2511
Practice Address - Country:US
Practice Address - Phone:603-622-8013
Practice Address - Fax:603-625-6020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1128322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30007077Medicaid
NH2396OtherDCYF BOARD & CARE