EAST KILLINGLY ROAD GROUP HOME (NPI# 1700911971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700911971 |
Entity Type | Organization |
Organization Name | EAST KILLINGLY ROAD GROUP HOME |
Practice Address |
94 E Killingly Rd Foster RI 02825-1432 |
Mailing Address |
6 Harrington Rd Cranston RI 02920-3080 |
Practice Telephone | 4016477040 |
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 | 271 | RI | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | LC02851 | 05 |
Street Address |
94 E KILLINGLY RD |
City | FOSTER |
State | RI |
Zip Code | 02825-1432 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003292921 | Wendy Mumford | Social Worker | 189 Putnam Pike, Foster, RI 02825 | 2015-08-03 |
1932267606 | Jerald Ivan Kupperberg | Pediatrics | 54 Howard Hill Road, Foster, RI 02825 | 2006-12-05 |
1073644084 | Edmond Stanley Zuromski | Psychologist | 54 Plainfield Pike, Foster, RI 02825-0007 | 2007-03-08 |
1952519019 | Lawrence Howard Luppi | Orthopaedic Surgery | 193 Franklin Rd, Foster, RI 02825-1121 | 2007-05-20 |
1356667174 | Potterville Fire Department Inc | Ambulance | 953 Tunk Hill Rd, Foster, RI 02825-1162 | 2010-04-19 |
1972869428 | Jerald I Kupperberg Md,inc. | Pediatrics | 54 Howard Hill Rd, Foster, RI 02825-1220 | 2012-04-10 |
1306322763 | Carol M Mauro | Social Worker | 181 Howard Hill Rd, Foster, RI 02825-1226 | 2018-07-18 |
1841325370 | Ricky Wayne Mccullough | Emergency Medicine | 48 Moosup Valley Rd, Foster, RI 02825-1236 | 2007-02-23 |
1700135175 | Mary Joanne Chretien | Speech-Language Pathologist | 2 Tray Hollow Rd, Foster, RI 02825-1281 | 2012-08-31 |
1093777849 | Nancy Ann Puth | Chiropractor | 96a Foster Center Rd, Foster, RI 02825-1327 | 2006-04-05 |
Find all providers in zip 02825 |
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 |
---|---|---|---|---|
1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
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 |
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 |
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.