OCEAN TIDES (NPI# 1235259631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235259631 |
Entity Type | Organization |
Organization Name | OCEAN TIDES |
Practice Address |
635 Ocean Rd Narragansett RI 02882-1314 |
Mailing Address |
635 Ocean Road Narragansett RI 02882 |
Practice Telephone | 4017891016 |
Practice Fax Number | 4017880924 |
Mailing Telephone | 4017891016 |
Mailing Fax Number | 4017880924 |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | BRENDAN J GERRITY (PRESIDENT CEO) |
Authorized Official Telephone | 4017891016 |
Authorized Official Credential | MA CAGS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 41599 | RI | Residential Treatment Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Ocean Tides LLC | 19585 Fullers Mill Road, Boykins, Virginia 23827 |
Street Address |
635 OCEAN RD |
City | NARRAGANSETT |
State | RI |
Zip Code | 02882-1314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316438286 | Rhode Island Optometrics, LLC | Optometrist | 91 Point Judith Rd Ste 2, Narragansett, RI 02882 | 2018-05-25 |
1932382132 | Harry Mancoll | Optometrist | 55 Earles Court, Narragansett, RI 02882 | 2007-12-11 |
1396966172 | Anna M. Selwyn | Pharmacist | 1395 Kingstown Road, Suite 107, Narragansett, RI 02882 | 2007-05-01 |
1154452597 | Diagnostic Medical Systems | Physiological Laboratory | 51 Sunset Blvd, Narragansett, RI 02882 | 2007-03-08 |
1003874678 | Victoria Kent Hueston | Specialist | 140 Point Judith Rd, Narragansett, RI 02882 | 2006-05-03 |
1619262623 | A. Hilton Parmentier, Ltd. | Psychiatry & Neurology | 360 Kingstown Road, Suite 208, Narragansett, RI 02882 | 2011-06-17 |
1861567596 | Back To Health Chiropractic of Wakefield Inc | Chiropractor | 140 Point Judith Rd, #31c, Narragansett, RI 02882 | 2006-11-21 |
1164527339 | Will Gary Peigelbeck | Audiologist | 360 Kingstown Rd, Ste 201, Narragansett, RI 02882 | 2006-09-13 |
1457393043 | Jay S Korsen | Chiropractor | 140 Point Judith Rd, 31c, Narragansett, RI 02882 | 2006-06-11 |
1609930916 | Scott Spencer Maynard | Registered Nurse | 24 Overlook Rd, Narragansett, RI 02882-1253 | 2006-12-21 |
Find all providers in zip 02882 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407076227 | Youth Services International Holdings | Residential Treatment Facility, Emotionally Disturbed Children | 188 Academy Ave, Providence, RI 02908-4452 | 2007-04-26 |
1760606396 | Community Solutions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 785 Greenville Ave, Johnston House, Johnston, RI 02919-1329 | 2007-04-13 |
1508080136 | Community Solutions, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 344 Hopkins Hill Rd, Coventry House, Coventry, RI 02816-6332 | 2007-04-13 |
1386760536 | Perspectives Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 125 Sand Turn Rd, South Kingstown, RI 02879 | 2007-03-21 |
1124152392 | Children's Shelter of Blackstone Valley, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 15 Gates St, Pawtucket, RI 02861-3225 | 2007-03-16 |
1457484875 | Lighthouse for Youth | Residential Treatment Facility, Emotionally Disturbed Children | 81 Spencer Ct, Wakefield, RI 02879-2820 | 2007-03-14 |
1760513600 | Oakmont Community Resources, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 35 Amey St, Pawtucket, RI 02860-1106 | 2007-03-09 |
1245362185 | Washington Park Citizens Association, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1279 Broad St, Providence, RI 02905-2935 | 2007-03-09 |
1508997628 | Turning Point | Residential Treatment Facility, Emotionally Disturbed Children | 5 Kids Way, Pawtucket, RI 02860-2206 | 2007-03-08 |
1881735389 | Justice Resource Institute, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 818 Dyer Ave, Cranston, RI 02920-6714 | 2007-02-09 |
Find all providers with the same taxonomy |
City | NARRAGANSETT |
Zip Code | 02882 |
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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.