STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS (NPI# 1164567202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164567202 |
Entity Type | Organization |
Organization Name | STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS |
Other Organization Name | MOWRY GROUP HOME |
Practice Address |
80 Mowry Avenue North Smithfield RI 02896-7110 |
Mailing Address |
6 Harrington Rd Cranston RI 02920-3080 |
Practice Telephone | 4017696681 |
Mailing Telephone | 4014622659 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2019-08-22 |
Authorized Official Name | MS. JENNIFER RAE WHITE (DEPUTY CFO) |
Authorized Official Telephone | 4014621343 |
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 | 321 | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | LC01616 | 05 |
Other Name | Type Code |
---|---|
Mowry Group Home | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104961242 | State of Rhode Island and Providence Plantations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1710 East Wallum Lake Road, Pascoag, RI 02859-1825 | 2007-02-20 |
1174690887 | State of Rhode Island and Providence Plantations | Clinical Medical Laboratory | 50 Orms St, Providence, RI 02904-2222 | 2006-11-29 |
1497850499 | State of Rhode Island and Providence Plantations | Speech-Language Pathologist | 25 W Independence Way Ste I, Kingston, RI 02881-1124 | 2006-09-14 |
1801889035 | State of Rhode Island and Providence Plantations | Long Term Care Hospital | 111 Howard Ave, Cranston, RI 02920-3001 | 2005-08-23 |
1962536730 | State of Rhode Island and Providence Plantations | Public Health or Welfare | 3 Capitol Hl, Room 402, Providence, RI 02908-5034 | 2007-03-15 |
1922197789 | State of Rhode Island and Providence Plantations | Long Term Care Hospital | 111 Howard Ave, Cranston, RI 02920-3001 | 2006-10-12 |
Street Address |
80 MOWRY AVENUE |
City | NORTH SMITHFIELD |
State | RI |
Zip Code | 02896-7110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407474042 | Arabia Songs Kopec | Nurse Practitioner | 63-65 Eddie Dowling Highway, North Smithfield, RI 02896 | 2020-07-09 |
1245712066 | Successful Solutions Counseling, Inc | Counselor | 117 Eddie Dowling Hwy., Unit Lla, North Smithfield, RI 02896 | 2018-08-29 |
1134612906 | Kellsy Ann Parenteau | Assistant Behavior Analyst | 12 Tarklin Pond Drive, North Smithfield, RI 02896 | 2018-06-07 |
1134667082 | Mary Greenlund | Physical Therapy Assistant | 261 Main Street Suite 101, North Smithfield, RI 02896 | 2017-02-10 |
1134251135 | David R Dubois | Family Medicine | 501 Great Road Unit 102, North Smithfield, RI 02896 | 2007-03-12 |
1184776080 | Linda S Young | Nurse Practitioner | 117 Eddie Dowling Hwy Unit B Lowr Level, North Smithfield, RI 02896 | 2007-01-18 |
1780748806 | North Smithfield Podiatry Inc | Podiatrist | 249 Eddie Dowling Highway, North Smithfield, RI 02896 | 2006-12-21 |
1245398684 | Medical Imaging Associates Inc | Radiology | 100 Eddie Dowling Highway, North Smithfield, RI 02896 | 2006-12-05 |
1881799070 | Gregory Paul Stepka | Dentist | 501 Great Road, Suite 207, North Smithfield, RI 02896 | 2006-09-13 |
1740296086 | James C Sullivan | Podiatrist | 249 Eddie Dowling Hwy, North Smithfield, RI 02896 | 2006-07-31 |
Find all providers in zip 02896 |
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 |
---|---|---|---|---|
1568580660 | Ocean State Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 173 Sayles Hill Rd, North Smithfield, RI 02896-8255 | 2007-03-27 |
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 |
City | NORTH SMITHFIELD |
Zip Code | 02896 |
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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.