Healthcare Provider Details

I. General information

NPI: 1982578357
Provider Name (Legal Business Name): LIFE CONNECTIONS SPECIALIZED SUPPORT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 LAFAYETTE RD
HAMPTON FALLS NH
03844-2303
US

IV. Provider business mailing address

633 NH ROUTE 10
ORFORD NH
03777-4109
US

V. Phone/Fax

Practice location:
  • Phone: 603-325-3774
  • Fax:
Mailing address:
  • Phone: 603-359-9044
  • Fax: 603-359-9044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: JAY THOMAS WOLTER
Title or Position: PRESIDENT
Credential:
Phone: 603-359-9044