Healthcare Provider Details

I. General information

NPI: 1619778214
Provider Name (Legal Business Name): CONNECT & INSPIRE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 ELM ST STE 8
MANCHESTER NH
03104-2911
US

IV. Provider business mailing address

1850 ELM ST STE 8
MANCHESTER NH
03104-2911
US

V. Phone/Fax

Practice location:
  • Phone: 603-820-2894
  • Fax:
Mailing address:
  • Phone: 603-820-2894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: KHAGEN NIROULA
Title or Position: CEO
Credential:
Phone: 603-820-2894