STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS (NPI# 1801889035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801889035 |
| Entity Type | Organization |
| Organization Name | STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS |
| Practice Address |
111 Howard Ave Cranston RI 02920-3001 |
| Mailing Address |
Po Box 8293 Cranston RI 02920-0293 |
| Practice Telephone | 4014621405 |
| Practice Fax Number | 4014623555 |
| Mailing Telephone | 4014621405 |
| Mailing Fax Number | 4014623555 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2019-08-22 |
| Authorized Official Name | MS. CYNTHIA R HUETHER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4014620660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | HOS00102 | RI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | HEALTHMATE 2000 | 00004102001 | 01 |
| RI | RI MED CTR PHY GROUP | RI22693 | 01 |
| RI | 4102001 | 05 | |
| RI | UNITED HEALTH CARE | 53-09425 | 01 |
| MEDICARE + CHOICE | CP00402578 001 | 01 | |
| RI | BLUE SHIELD & PLAN 65 | 000000 2900-001 | 01 |
| RI | BLUE CROSS PLAN 65 | 0000000027 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164567202 | State of Rhode Island and Providence Plantations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 80 Mowry Avenue, North Smithfield, RI 02896-7110 | 2007-02-20 |
| 1104961242 | State of Rhode Island and Providence Plantations | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1710 East Wallum Lake Road, Pascoag, RI 02859-1825 | 2007-02-20 |
| 1174690887 | State of Rhode Island and Providence Plantations | Clinical Medical Laboratory | 50 Orms St, Providence, RI 02904-2222 | 2006-11-29 |
| 1497850499 | State of Rhode Island and Providence Plantations | Speech-Language Pathologist | 25 W Independence Way Ste I, Kingston, RI 02881-1124 | 2006-09-14 |
| 1962536730 | State of Rhode Island and Providence Plantations | Public Health or Welfare | 3 Capitol Hl, Room 402, Providence, RI 02908-5034 | 2007-03-15 |
| 1922197789 | State of Rhode Island and Providence Plantations | Long Term Care Hospital | 111 Howard Ave, Cranston, RI 02920-3001 | 2006-10-12 |
| Street Address |
111 HOWARD AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675737 | Mambo Jingla Ndingwan | Nurse Practitioner | 111 Howard Ave, Cranston, RI 02920-3001 | 2020-03-25 |
| 1104318138 | Andrew Denicola | Counselor | 111 Howard Ave, Cranston, RI 02920-3001 | 2018-06-05 |
| 1689049512 | Francine Angela Archambault | Counselor | 111 Howard Ave, Cranston, RI 02920-3001 | 2015-12-03 |
| 1497157572 | Gloria Mary Mazza | Nurse Practitioner | 111 Howard Ave, Box 8269, Cranston, RI 02920-3001 | 2014-09-21 |
| 1396921292 | Allen Mcleod | Counselor | 111 Howard Ave, Cranston, RI 02920-3001 | 2008-01-10 |
| 1114135365 | Michael John Petrarca | Occupational Therapist | 111 Howard Ave, Cranston, RI 02920-3001 | 2007-05-20 |
| 1285772459 | Angela Lacombe | Psychiatry & Neurology | 111 Howard Ave, Adolf Meyer Bldg., Cranston, RI 02920-3001 | 2007-02-01 |
| 1790860955 | Ludmina Gorkina | Internal Medicine | 111 Howard Ave, Cranston, RI 02920-3001 | 2006-10-26 |
| 1922197789 | State of Rhode Island and Providence Plantations | Long Term Care Hospital | 111 Howard Ave, Cranston, RI 02920-3001 | 2006-10-12 |
| 1457440828 | Somasundaram Panneerselvam | Internal Medicine | 111 Howard Ave, Eleanor Slator Hospital, Cranston, RI 02920-3001 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922197789 | State of Rhode Island and Providence Plantations | Long Term Care Hospital | 111 Howard Ave, Cranston, RI 02920-3001 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
Please comment or provide details below to improve the information on STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS.
| 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.