HEADREST – NPI #1407266828
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

HEADREST is a substance abuse rehabilitation facility located in LEBANON, NH. NPPES has assigned the NPI number 1407266828 to HEADREST on May 07, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 8 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 2 years ago on Apr 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEADREST below.

NPI Profile for
HEADREST

NPI Number
1407266828
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HEADREST
Primary location
14 CHURCH ST
LEBANON, NH 03766
Phone: (603) 448-4872 Fax: (603) 448-1829
8 Other location(s):
119 N Main St
Boscawen, NH 03303-1106
Phone: (603) 448-4872
Fax: (603) 448-1829
121 N Main St
Boscawen, NH 03303-1106
Phone: (603) 448-4872
Fax: (603) 448-1829
123 N Main St
Boscawen, NH 03303-1106
Phone: (603) 448-4872
Fax: (603) 448-1829
29B Pleasant St
Claremont, NH 03743-2605
Phone: (603) 448-4872
Fax: (603) 448-1829
390 Union Ave
Laconia, NH 03246-2871
Phone: (603) 448-4872
Fax: (603) 448-1829
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone: (603) 448-4872
Fax: (603) 448-1829
141 Mascoma St
Lebanon, NH 03766-2647
Phone: (603) 448-4872
Fax: (603) 448-1829
3A Taggart Dr
Nashua, NH 03060-5592
Phone: (603) 448-4872
Fax: (603) 448-1829
Mailing address
141 MASCOMA ST
LEBANON, NH 03766-2647
Phone: (603) 448-4872 Fax: (603) 727-9353
Organization Subpart
No
Authorized Official
ERIC HARBECK
CLINICAL DIRECTOR
Phone: (603) 448-4872
Updated
Certification Date
Oct 17, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HEADREST

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNH3105004
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
101YA0400X
- Counselor / Addiction (Substance Use Disorder)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.