KG RANCH ROAD GROUP HOME (NPI# 1578608931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578608931 |
| Entity Type | Organization |
| Organization Name | KG RANCH ROAD GROUP HOME |
| Practice Address |
61 K G Ranch Rd Hope Valley RI 02832-2909 |
| Mailing Address |
6 Harrington Rd Cranston RI 02920-3080 |
| Practice Telephone | 4015392613 |
| Mailing Telephone | 4014622659 |
| Mailing Fax Number | 4014626631 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ELLEN R NELSON (DIRECTOR) |
| Authorized Official Telephone | 4014626001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 236 | RI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | LC02468 | 05 |
| Street Address |
61 K G RANCH RD |
| City | HOPE VALLEY |
| State | RI |
| Zip Code | 02832-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285966481 | Gordon Orthodontics, Inc. | Dentist | 1171 Main Street, Hope Valley, RI 02832 | 2010-02-12 |
| 1497729370 | Lawrence E Berkman | Dentist | 1111 Main St, Hope Valley, RI 02832 | 2006-02-15 |
| 1023321825 | Auren Pope | Nurse Practitioner | 823 Main St, Hope Valley, RI 02832 | 2010-07-21 |
| 1235150806 | Hope Valley Ambulance Squad Inc | Ambulance | 5 Fairview Ave, Hope Valley, RI 02832-0205 | 2006-07-21 |
| 1942242888 | Judith Anne Strickland | Marriage & Family Therapist | 5 Mechanic St, Hope Valley, RI 02832-0746 | 2006-06-12 |
| 1861435000 | Stephen Francis Cummings | Family Medicine | 58 Dye Hill Rd, Hope Valley, RI 02832-1218 | 2006-06-14 |
| 1033659297 | Aimee Brodeur | Physical Therapist | 7 Shady Grove Rd, Hope Valley, RI 02832-1253 | 2017-03-06 |
| 1871868554 | Aks Tansportation | Private Vehicle | 17 Teft Ct, Hope Valley, RI 02832-1287 | 2012-03-14 |
| 1174079552 | Rachel Bailey | Speech-Language Pathologist | 2 Elaine Dr, Hope Valley, RI 02832-1294 | 2016-08-26 |
| 1972628329 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Teaberry Ln, Hope Valley, RI 02832-1326 | 2007-03-21 |
| Find all providers in zip 02832 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740302082 | Spurwinkri-brook Drive | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Brook Dr, Hope Valley, RI 02832-2504 | 2007-04-06 |
| 1972628329 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Teaberry Ln, Hope Valley, RI 02832-1326 | 2007-03-21 |
| 1467578815 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Crestwood Dr, Hope Valley, RI 02832-3401 | 2007-03-21 |
| 1295860369 | Spring Street Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Spring St, Hope Valley, RI 02832-1630 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1275655425 | Spurwink Ri - Crompton Road | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Crompton Rd, East Greenwich, RI 02818-1202 | 2007-04-06 |
| 1699897942 | Spurwink Ri-south County Trail | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2944 S County Trl, East Greenwich, RI 02818-1429 | 2007-04-06 |
| 1700908969 | Spurwink Ri - Peaked Rock Road | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 Peaked Rock Rd, Wakefield, RI 02879-2380 | 2007-04-06 |
| 1235251489 | Spurwink Ri - Seven Mile Road | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 569 Seven Mile Rd, Hope, RI 02831-1850 | 2007-04-06 |
| 1467574624 | Spurwink Ri - Plainfield Pike | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1150 Plainfield Pike, Cpu Summit General Store, RI 02827-1904 | 2007-04-06 |
| 1881713733 | Re-focus Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 11th St, Providence, RI 02906-2910 | 2007-03-29 |
| 1982723987 | Re-focus Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Cooke Dr, North Scituate, RI 02857-1609 | 2007-03-29 |
| 1154440188 | Re-focus Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 179 Bourne St, North Providence, RI 02904-3707 | 2007-03-29 |
| 1073632931 | Re-focus Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Sampson Ave, North Providence, RI 02911-2606 | 2007-03-29 |
| Find all providers with the same taxonomy | ||||
| City | HOPE VALLEY |
| Zip Code | 02832 |
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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.