CHURCH OF THE SACRED HEART (NPI# 1255774576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255774576 |
| Entity Type | Organization |
| Organization Name | CHURCH OF THE SACRED HEART |
| Practice Address |
118 Taunton Ave East Providence RI 02914-4550 |
| Practice Telephone | 4014340326 |
| Practice Fax Number | 4014341080 |
| Mailing Telephone | 4014340326 |
| Mailing Fax Number | 4014341080 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | PETER SAMUEL DI TULLIO, SDC (ADMINISTRATOR) |
| Authorized Official Telephone | 4014340326 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SACRED HEART CHURCH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679909352 | Church of The Sacred Heart | Clinic/Center | 118 Taunton Ave, East Providence, RI 02914-4550 | 2013-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CHURCH OF THE SACRED HEART | 1015 Snowberry Rd, ROSEBURG OR |
| New York State Corporations | CHURCH OF THE SACRED HEART OF JESUS | New York |
| New York State Corporations | CHURCH OF THE SACRED HEART OF JESUS IN TH CITY OF BROOKLYN | New York |
| Street Address |
118 TAUNTON AVE |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679909352 | Church of The Sacred Heart | Clinic/Center | 118 Taunton Ave, East Providence, RI 02914-4550 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720612039 | Jade Marie Jordan | Case Manager/Care Coordinator | 93 Reservoir Rd, Middletown, RI 02842-5832 | 2020-02-25 |
| 1073091153 | Aileen James Archambault | Case Manager/Care Coordinator | 220 Howell St, Providence, RI 02906-1614 | 2018-08-01 |
| 1487169066 | Joshua Quinton Rathbun | Case Manager/Care Coordinator | 275 W Natick Rd, Warwick, RI 02886-1079 | 2017-12-05 |
| 1619496130 | Monica Arnold | Case Manager/Care Coordinator | 3345 Post Rd, Warwick, RI 02886-7146 | 2017-09-15 |
| 1205242823 | Stephanie Brodeur | Case Manager/Care Coordinator | 70 Mohawk St, Cumberland, RI 02864-5911 | 2014-07-02 |
| 1740600667 | Jennifer Carrier | Case Manager/Care Coordinator | 36 Maureen Dr, Smithfield, RI 02917-2336 | 2014-04-17 |
| 1508102179 | Christien Damiani | Case Manager/Care Coordinator | 887 Willett Ave, Riverside, RI 02915-2760 | 2012-12-29 |
| 1194073742 | Keelyn A Spear | Case Manager/Care Coordinator | 56 Lepes Rd, Tiverton, RI 02878-1302 | 2012-08-29 |
| 1205196433 | Melysa Sue Faria | Case Manager/Care Coordinator | 1264 Chopmist Hill Rd, Scituate, RI 02857-1559 | 2012-05-22 |
| 1407130990 | Jean Payne | Case Manager/Care Coordinator | 13 Redland Ave, Rumford, RI 02916-1214 | 2011-10-04 |
| Find all providers with the same taxonomy | ||||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
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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.