CARITAS INC. (NPI# 1285766584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285766584 |
| Entity Type | Organization |
| Organization Name | CARITAS INC. |
| Practice Address |
166 Pawtucket Ave Pawtucket RI 02860-3811 |
| Practice Telephone | 4017224644 |
| Practice Fax Number | 4014759533 |
| Mailing Telephone | 4017624421 |
| Mailing Fax Number | 4017624867 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | RICHARD A. CIPOLLA (DIRECTOR OF FINANCE & OPERATIONS) |
| Authorized Official Telephone | 4014758009 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
RI | Ambulatory Health Care Facilities | |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
RI | Ambulatory Health Care Facilities | |
| N | 324500000X | Substance Abuse Rehabilitation Facility | RI | Residential Treatment Facilities | |
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
RI | Residential Treatment Facilities | |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
RI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | UNITED HEALTH | 5079653 | 01 |
| RI | BCBS RI (UB) | 6997-7 | 01 |
| RI | OXFORF HEALTH PLANS | A2833203 | 01 |
| RI | CH-04437 | 05 | |
| RI | VALUE OPTIONS | 334543 | 01 |
| RI | BCBSRI BLUE CHIP (HCFA) | 410887 | 01 |
| RI | BEACON HEALTH STRATEGIES | 1022660 | 01 |
| RI | MAGELLAN BEHAVIORAL HLTH | 253474 | 01 |
| RI | EMPIRE NETWORK | 334543 | 01 |
| RI | AETNA | 7891442 | 01 |
| RI | BCBSRI (HCFA) | 30774-5 | 01 |
| RI | BCBSRI BLUE CHIP (UB) | 409686 | 01 |
| Street Address |
166 PAWTUCKET AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194828749 | Meredith M Denno | Counselor | 166 Pawtucket Ave, Pawtucket, RI 02860 | 2006-09-07 |
| 1437784253 | Robin Lee Young | Counselor | 166 Pawtucket Ave, Pawtucket, RI 02860-3811 | 2020-03-12 |
| 1417429788 | Tami Rene Jarvis | Counselor | 166 Pawtucket Ave, Pawtucket, RI 02860-3811 | 2018-12-26 |
| 1376955609 | Donna Renshaw | Counselor | 166 Pawtucket Ave, Pawtucket, RI 02860-3811 | 2014-05-21 |
| 1770837734 | Jackie Berry | Counselor | 166 Pawtucket Ave, Pawtucket, RI 02860-3811 | 2012-10-30 |
| 1679877906 | Kelly Levesque | Counselor | 166 Pawtucket Ave, Pawtucket, RI 02860-3811 | 2010-12-30 |
| 1528208055 | Jody Skaggs | Counselor | 166 Pawtucket Ave, Pawtucket, RI 02860-3811 | 2009-02-24 |
| 1265594774 | Carolynne C Davis | Counselor | 166 Pawtucket Ave, Pawtucket, RI 02860-3811 | 2006-12-14 |
| 1871684688 | Dianne Gee Shuttlesworth | Counselor | 166 Pawtucket Ave, Pawtucket, RI 02860-3811 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1902373046 | Adcare Rhode Island | Clinic/Center | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2018-10-26 |
| 1114430907 | Comprehensive Addiction Treatment LLC | Clinic/Center | 1950 Tower Hill Rd, N Kingstown, RI 02852-6639 | 2017-11-15 |
| 1376938654 | Vita Nova LLC | Clinic/Center | 66 Pavilion Ave, Providence, RI 02905-1522 | 2015-04-02 |
| 1023359122 | P and R Recovery Services LLC | Clinic/Center | 11 King Charles Dr, A2, Portsmouth, RI 02871-1446 | 2013-03-14 |
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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.