CRANSTON ARC (NPI# 1225169832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225169832 |
| Entity Type | Organization |
| Organization Name | CRANSTON ARC |
| Practice Address |
129 Moorefield St Providence RI 02909-4837 |
| Mailing Address |
111 Comstock Pkwy Cranston RI 02921-2002 |
| Practice Telephone | 4019411112 |
| Practice Fax Number | 4019412516 |
| Mailing Telephone | 4019411112 |
| Mailing Fax Number | 4019412516 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAT COPPAGE (FINANCIAL DIRECTOR) |
| Authorized Official Telephone | 4019411112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 30 | RI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | EDS PROVIDER NUMBER | AC02744 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629109848 | Cranston Arc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 136 Concord Ave, Cranston, RI 02910-3304 | 2007-03-08 |
| 1962532978 | Cranston Arc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27 Imera St, Providence, RI 02909-4004 | 2007-03-07 |
| 1134250749 | Cranston Arc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 635 Dyer Ave, Cranston, RI 02920-6900 | 2007-03-07 |
| 1144351859 | Cranston Arc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10 Cavalry St, Cranston, RI 02920-5101 | 2007-03-07 |
| 1578694188 | Cranston Arc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 247 Poplar Dr, Cranston, RI 02920-5550 | 2007-03-07 |
| 1447381066 | Cranston Arc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 38 Juniper Dr, Cranston, RI 02920-5513 | 2007-03-07 |
| 1124159744 | Cranston Arc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27 Wildflower Dr, Cranston, RI 02921-2326 | 2007-03-07 |
| 1477684181 | Cranston Arc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25 Batcheller Ave, Cranston, RI 02920-5128 | 2007-03-07 |
| 1447391875 | Cranston Arc | Local Education Agency (LEA) | 665 Dyer Ave, Cranston, RI 02920-6900 | 2007-02-09 |
| 1306987607 | Cranston Arc | Day Training, Developmentally Disabled Services | 111 Comstock Pkwy, Cranston, RI 02921-2002 | 2007-02-09 |
| Street Address |
129 MOOREFIELD ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02909-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021754 | Roberta Bellas Portugal | Registered Nurse | Behave Care, 188 Valley St, Providence, RI 02909 | 2019-03-07 |
| 1912137324 | Catherine Elaine Tuttle | Social Worker | 623 Atwells Avenue, Suite 201, Providence, RI 02909 | 2009-07-20 |
| 1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
| 1245449651 | Walter R. Vandyck | Occupational Therapist | Springfield Middle School, Providene School Department, 152 Springfield St, Providence, RI 02909 | 2007-05-22 |
| 1780805283 | Marcel A Trisvan | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| 1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
| 1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
| 1710042742 | Michael Antonio Pensa | Chiropractor | 45 Eagle St Bld J Unit 100, Providence, RI 02909 | 2006-12-27 |
| 1780768234 | Providence Community Action | Case Management | 662 Hartford Avenue, Providence, RI 02909 | 2006-10-24 |
| 1881629608 | Cora Brigid Mayer | Counselor | 623 Atwells Ave., Communities for People, Inc., Providence, RI 02909 | 2006-07-11 |
| Find all providers in zip 02909 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407328966 | Groden Center, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 886 Hope St, Providence, RI 02906-3741 | 2018-12-21 |
| 1962532978 | Cranston Arc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27 Imera St, Providence, RI 02909-4004 | 2007-03-07 |
| 1023305356 | The Cove Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 610 Manton Ave, 2nd Floor, Finance Offices, Providence, RI 02909-5633 | 2011-07-07 |
| 1962552489 | Cove Center,inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 610 Manton Ave, Providence, RI 02909-5633 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265554778 | Looking Upwards, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 95 Kay St, Newport, RI 02840-2836 | 2007-04-04 |
| 1912029430 | Looking Upwards, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 81 Willow Ln, Portsmouth, RI 02871-1611 | 2007-04-04 |
| 1376665885 | Looking Upwards, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 Beacon St, Middletown, RI 02842-4805 | 2007-04-04 |
| 1023130549 | Looking Upwards, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12 William Dr, Middletown, RI 02842-5266 | 2007-04-04 |
| 1790807212 | Looking Upwards, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23 Toppa Blvd, Newport, RI 02840-2364 | 2007-04-04 |
| 1205957818 | Looking Upwards, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 340 King Rd, Tiverton, RI 02878-2721 | 2007-04-02 |
| 1376664987 | Looking Upwards, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 95 Linda Ter, Portsmouth, RI 02871-3603 | 2007-04-02 |
| 1174644785 | Looking Upwards, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 107 Mulberry Rd, Bristol, RI 02809-1354 | 2007-04-02 |
| 1710018668 | James L Maher Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 120 Hillside Ave, Newport, RI 02840 | 2007-03-09 |
| 1629109848 | Cranston Arc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 136 Concord Ave, Cranston, RI 02910-3304 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02909 |
Please comment or provide details below to improve the information on CRANSTON ARC.
| 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.