GREATER PROVIDENCE CHAPTER,RIARC (NPI# 1285750075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285750075 |
| Entity Type | Organization |
| Organization Name | GREATER PROVIDENCE CHAPTER,RIARC |
| Other Organization Name | JOHN E. FOGARTY CENTER |
| Practice Address |
1460 Douglas Ave North Providence RI 02904-4032 |
| Mailing Address |
220 Woonasquatucket Ave North Providence RI 02911-3196 |
| Practice Telephone | 4013534044 |
| Practice Fax Number | 4013530290 |
| Mailing Telephone | 4013536990 |
| Mailing Fax Number | 4013530290 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN COSTA (CONTROLLER) |
| Authorized Official Telephone | 4013536990 |
| Authorized Official Credential | BS, CPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 235 | RI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | JF02831 | 05 |
| Other Name | Type Code |
|---|---|
| JOHN E. FOGARTY CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447376264 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 1 Roland St, Riverside, RI 02915-3315 | 2007-03-22 |
| 1760508501 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 2 Testa Cir, North Scituate, RI 02857-1870 | 2007-03-22 |
| 1063538502 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 212 Leah St, Providence, RI 02908-3906 | 2007-03-22 |
| 1326164146 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 181 Ridge Rd, Smithfield, RI 02917-2504 | 2007-03-22 |
| 1457477168 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 7 Tallyho Rd, Cumberland, RI 02864-3911 | 2007-03-22 |
| 1427174234 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 9 Howard Ave, North Providence, RI 02911-1838 | 2007-03-22 |
| 1124144928 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 40 Leander St, Providence, RI 02909-5636 | 2007-03-22 |
| 1245356955 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 109 Sherwood St, Providence, RI 02908-1617 | 2007-03-22 |
| 1609992163 | Greater Providence Chapter,riarc | Day Training, Developmentally Disabled Services | 220 Woonasquatucket Ave, North Providence, RI 02911-3196 | 2007-03-22 |
| Street Address |
1460 DOUGLAS AVE |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 02904-4032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427174234 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 9 Howard Ave, North Providence, RI 02911-1838 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045742 | Community Residences, Inc. Rhode Island | Intermediate Care Facility, Mentally Retarded | Community Residences, Inc. Rhode Island, 10 Dorrance Street, Suite 706, Providence, RI 02903-2003 | 2019-04-01 |
| 1447376264 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 1 Roland St, Riverside, RI 02915-3315 | 2007-03-22 |
| 1760508501 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 2 Testa Cir, North Scituate, RI 02857-1870 | 2007-03-22 |
| 1063538502 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 212 Leah St, Providence, RI 02908-3906 | 2007-03-22 |
| 1326164146 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 181 Ridge Rd, Smithfield, RI 02917-2504 | 2007-03-22 |
| 1457477168 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 7 Tallyho Rd, Cumberland, RI 02864-3911 | 2007-03-22 |
| 1649396417 | Greater Providence Chapter, Riarc | Intermediate Care Facility, Mentally Retarded | 120 Angell Rd, Lincoln, RI 02865-4709 | 2007-03-22 |
| 1407972284 | Greater Providence Chapter, Riarc | Intermediate Care Facility, Mentally Retarded | 22 Buratti Rd, Johnston, RI 02919-3217 | 2007-03-22 |
| 1124144928 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 40 Leander St, Providence, RI 02909-5636 | 2007-03-22 |
| 1245356955 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 109 Sherwood St, Providence, RI 02908-1617 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PROVIDENCE |
| Zip Code | 02904 |
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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.