AVATAR RESIDENTIAL, INC. (NPI# 1093832339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093832339 |
| Entity Type | Organization |
| Organization Name | AVATAR RESIDENTIAL, INC. |
| Practice Address |
425 New River Rd Manville RI 02838-1805 |
| Mailing Address |
33 College Hill Rd Building 33 Warwick RI 02886-2776 |
| Practice Telephone | 4013332851 |
| Mailing Telephone | 4018267500 |
| Mailing Fax Number | 4018267503 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHLEEN A ELLIS (VICE PRESIDENT) |
| Authorized Official Telephone | 4018267500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 218 | RI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | PROVIDER NUMBER | AR01381 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225155336 | Avatar Residential, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 250 Garden Hills Dr, Cranston, RI 02920-3428 | 2007-03-23 |
| 1053607754 | Avatar Residential, Inc. | Day Training, Developmentally Disabled Services | 33 College Hill Rd, Bldg.33, Warwick, RI 02886-2776 | 2011-06-22 |
| Street Address |
425 NEW RIVER RD |
| City | MANVILLE |
| State | RI |
| Zip Code | 02838-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326171026 | Rose E. Fredericks | Internal Medicine | 15 Joyce Anne Dr, Manville, RI 02838-1017 | 2007-03-13 |
| 1063923373 | Joshua Nicholas Liard | Counselor | 144 Church St, Manville, RI 02838-1101 | 2017-10-14 |
| 1093150518 | Aaron Bond Morris | Counselor | 12 Reservoir Ave Apt C, Apt. C, Manville, RI 02838-1222 | 2013-05-10 |
| 1528050499 | The Holiday Retirement Home, Inc. | Skilled Nursing Facility | 30 Sayles Hill Rd, Manville, RI 02838-1227 | 2005-08-17 |
| 1417365933 | Rhonda Somyk | Nutritionist | 3 Umbrella Way, Manville, RI 02838-1249 | 2014-07-28 |
| 1184951980 | Peter Nicholas Dekreon | Behavioral Analyst | 120 Summer St, Manville, RI 02838-1313 | 2009-11-16 |
| 1801005715 | The Homestead Group | Nursing Facility/Intermediate Care Facility | 112 Maple St, Manville, RI 02838-1507 | 2007-05-21 |
| 1174811756 | Janice Votta | Speech-Language Pathologist | 400 New River Rd Apt 411, Manville, RI 02838-1814 | 2011-07-15 |
| 1346721743 | Elizabeth Moore | Social Worker | 315 New River Rd, Manville, RI 02838-1817 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647736 | Apluscare, LLC | Community/Behavioral Health | 1419 W Camplain Rd, Manville, NJ 08835-1647 | 2020-10-19 |
| 1093355687 | Mildred Miller-king | Case Manager/Care Coordinator | 115 N 8th Ave, Manville, NJ 08835-1249 | 2020-01-10 |
| 1326513219 | Dottie Krista Planeta | Registered Nurse | 21 S 8th Ave Apt B, Manville, NJ 08835-1713 | 2018-10-08 |
| 1346721743 | Elizabeth Moore | Social Worker | 315 New River Rd, Manville, RI 02838-1817 | 2018-08-23 |
| 1063923373 | Joshua Nicholas Liard | Counselor | 144 Church St, Manville, RI 02838-1101 | 2017-10-14 |
| 1033636857 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 South St Apt 4, Manville, NJ 08835-1874 | 2017-08-23 |
| 1467979385 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 South St Apt 6, Manville, NJ 08835-1874 | 2017-08-23 |
| 1295252013 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 South St Apt 7, Manville, NJ 08835-1874 | 2017-08-23 |
| 1578925335 | Katherine Provel | Speech-Language Pathologist | 1333 Dominic St, Manville, NJ 08835-1956 | 2016-03-22 |
| 1790145639 | A2z Dental | Clinic/Center | 255 North Main Str., Manville, NJ 08835 | 2016-03-04 |
| Find all providers in MANVILLE | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033636857 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 South St Apt 4, Manville, NJ 08835-1874 | 2017-08-23 |
| 1467979385 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 South St Apt 6, Manville, NJ 08835-1874 | 2017-08-23 |
| 1295252013 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 South St Apt 7, Manville, NJ 08835-1874 | 2017-08-23 |
| 1417337478 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 99 S 20th Ave, Manville, NJ 08835-1677 | 2015-06-04 |
| 1548640691 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 S 20th Ave, Manville, NJ 08835-1639 | 2015-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1740302082 | Spurwinkri-brook Drive | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Brook Dr, Hope Valley, RI 02832-2504 | 2007-04-06 |
| 1275655425 | Spurwink Ri - Crompton Road | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Crompton Rd, East Greenwich, RI 02818-1202 | 2007-04-06 |
| 1699897942 | Spurwink Ri-south County Trail | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2944 S County Trl, East Greenwich, RI 02818-1429 | 2007-04-06 |
| 1700908969 | Spurwink Ri - Peaked Rock Road | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Peaked Rock Rd, Wakefield, RI 02879-2380 | 2007-04-06 |
| 1235251489 | Spurwink Ri - Seven Mile Road | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 569 Seven Mile Rd, Hope, RI 02831-1850 | 2007-04-06 |
| 1467574624 | Spurwink Ri - Plainfield Pike | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1150 Plainfield Pike, Cpu Summit General Store, RI 02827-1904 | 2007-04-06 |
| 1881713733 | Re-focus Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 11th St, Providence, RI 02906-2910 | 2007-03-29 |
| 1982723987 | Re-focus Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Cooke Dr, North Scituate, RI 02857-1609 | 2007-03-29 |
| 1154440188 | Re-focus Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 179 Bourne St, North Providence, RI 02904-3707 | 2007-03-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.