ETHAN PLACE (NPI# 1780807347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780807347 |
| Entity Type | Organization |
| Organization Name | ETHAN PLACE |
| Other Organization Name | OES HOME OF RI |
| Practice Address |
85 Ethan St Warwick RI 02888-3905 |
| Practice Telephone | 4017815460 |
| Practice Fax Number | 4017810479 |
| Mailing Telephone | 4017815460 |
| Mailing Fax Number | 4017810479 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SANDRA L. LACROSS (DIRECTOR) |
| Authorized Official Telephone | 4017815460 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
207 | RI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OES Home of RI | Former Legal Business Name - Organization |
| Street Address |
85 ETHAN ST |
| City | WARWICK |
| State | RI |
| Zip Code | 02888-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558557629 | Oes Home of Ri,inc/ethan Place | Assisted Living Facility | 85 Ethan St, Warwick, RI 02888-3905 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644164 | Paul J Rocchio | Counselor | 2020 Elmwood Avenue Bridgemark, Inc., Warwick, RI 02888 | 2018-10-11 |
| 1184147811 | Alyssa Campagnone | Optometrist | 222 Jefferson Blvd Fl 3, Warwick, RI 02888 | 2017-07-25 |
| 1215204698 | Nicolette Fraza | Dietitian, Registered | 37 General Hawkinds Dr, Warwick, RI 02888 | 2011-11-29 |
| 1043431042 | Double Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1168 Warwick Ave, Warwick, RI 02888 | 2007-05-01 |
| 1205059037 | Richard Mark Goldenberg | Dentist | 708 Warwick Avenue, Warwick, RI 02888 | 2007-04-10 |
| 1558486068 | Richard Michael Bello | Optometrist | 1168 Warwick Avenue, Warwick, RI 02888 | 2007-03-21 |
| 1407997687 | Michael M Gooding | Dentist | 1422 Warwick Avenue, Warwick, RI 02888 | 2007-02-09 |
| 1528109246 | Kristie A. Ervanian | Counselor | 1087 Warwick Ave Rear Unit, Warwick, RI 02888 | 2007-02-08 |
| 1457417883 | Eugene Milton Dandrea | Psychologist | 1434 Warwick Avenue, Warwick, RI 02888 | 2006-12-29 |
| 1689750044 | Lucille C Vega | Family Medicine | 962 Warwick Avenue, Warwick, RI 02888 | 2006-10-28 |
| Find all providers in zip 02888 | ||||
| Taxonomy Code | 261QR0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Recovery Care |
| Definition to come... |
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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.