THE ARC OF BLACKSTONE VALLEY (NPI# 1508981143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508981143 |
| Entity Type | Organization |
| Organization Name | THE ARC OF BLACKSTONE VALLEY |
| Practice Address |
125 Columbus Ave Pawtucket RI 02860-5550 |
| Mailing Address |
115 Manton St Pawtucket RI 02861-4332 |
| Practice Telephone | 4017270150 |
| Practice Fax Number | 4017271545 |
| Mailing Telephone | 4017270150 |
| Mailing Fax Number | 4017271545 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHERINE S HUNT (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4017270150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 275 | RI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447375985 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 109 Earl Ave, Riverside, RI 02915-3205 | 2007-03-21 |
| 1396860730 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 305 Owen Ave, Pawtucket, RI 02860-1521 | 2007-03-21 |
| 1932224474 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 73 N Bend St, Pawtucket, RI 02860-3105 | 2007-03-21 |
| 1588789028 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 10 Ethier Way, Cumberland, RI 02864-4910 | 2007-03-21 |
| 1215052758 | The Arc of Blackstone Valley | Day Training, Developmentally Disabled Services | 115 Manton St, Pawtucket, RI 02861-4332 | 2007-03-21 |
| 1578688917 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 130 Dover Ave, East Providence, RI 02914-3114 | 2007-03-21 |
| 1336264969 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 195 Manton St, Pawtucket, RI 02861-4334 | 2007-03-20 |
| 1639294234 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 91 Estrell Dr, Riverside, RI 02915-1127 | 2007-03-20 |
| 1124143748 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 11 Curran Brook Ct, Cumberland, RI 02864-7308 | 2007-03-20 |
| Street Address |
125 COLUMBUS AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-5550 |
| 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 | 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 |
|---|---|---|---|---|
| 1396860730 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 305 Owen Ave, Pawtucket, RI 02860-1521 | 2007-03-21 |
| 1932224474 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 73 N Bend St, Pawtucket, RI 02860-3105 | 2007-03-21 |
| 1336264969 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 195 Manton St, Pawtucket, RI 02861-4334 | 2007-03-20 |
| 1871618405 | The Arc of Blacksstone Valley | Intermediate Care Facility, Mentally Retarded | 25 Seabiscuit Pl, Pawtucket, RI 02861-4320 | 2007-03-20 |
| 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 |
| 1427174234 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 9 Howard Ave, North Providence, RI 02911-1838 | 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 |
| Find all providers with the same taxonomy | ||||
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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.