Provider Demographics
NPI:1437945359
Name:ACCOMPANIED LLC
Entity type:Organization
Organization Name:ACCOMPANIED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BUKURU
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUNGUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-931-7316
Mailing Address - Street 1:274 W HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-4849
Mailing Address - Country:US
Mailing Address - Phone:603-931-7316
Mailing Address - Fax:
Practice Address - Street 1:274 W HANCOCK ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-4849
Practice Address - Country:US
Practice Address - Phone:603-931-7316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities