LIFE LIFE (NPI# 1902204050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902204050 |
| Entity Type | Organization |
| Organization Name | LIFE LIFE |
| Practice Address |
30 W Main St North Kingstown RI 02852-5112 |
| Practice Telephone | 4012955269 |
| Mailing Telephone | 4012955269 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-07 |
| Authorized Official Name | MS. LORI E DELFOSSE (HEALTH DIRECTOR) |
| Authorized Official Telephone | 4019329342 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | RN48162 | RI | Agencies |
| Y | 251S00000X | Community/Behavioral Health | RN32761 | RI | Agencies |
| Street Address |
30 W MAIN ST |
| City | NORTH KINGSTOWN |
| State | RI |
| Zip Code | 02852-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881185759 | Daniel Rexford Fanning | Counselor | 30 W Main St, North Kingstown, RI 02852-5112 | 2018-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037059 | Rhode Island Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4255 Quaker Lane, North Kingstown, RI 02852 | 2020-06-15 |
| 1588216543 | Stop Look & Listen LLC | Counselor | 917 Ten Rod Rd, 917 Ten Rod Rd., North Kingstown, RI 02852 | 2019-07-10 |
| 1841856358 | Carlos Albert Saraiva | Pharmacist | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-10 |
| 1184143851 | Jessica Topitzer | Nurse Practitioner | 426f Scrabbletown Rd., N. Kingstown, RI 02852 | 2017-09-14 |
| 1275074940 | Amanda Kathryn Lennon | Social Worker | 2 Ripple Lane, North Kingstown, RI 02852 | 2017-03-15 |
| 1164975728 | Charlotte Elizabeth Bigg | Dentist | 145 Phillips St, North Kingstown, RI 02852 | 2016-08-01 |
| 1043603913 | Pamela Morelli | Social Worker | 426 Scrabbletown Rd., North Kingstown, RI 02852 | 2015-03-16 |
| 1942691845 | Catherine Cooney | Counselor | 1130 Ten Rod Rd, Ste E305, North Kingstown, RI 02852 | 2015-02-12 |
| 1154753168 | Kenneth N Beaupre | Counselor | 23 Brown St Ste 107, North Kingstown, RI 02852 | 2013-07-31 |
| 1154613909 | Kimberly Micucci | Counselor | 1950 Tower Hill Road, Acute Stabilization Unit, North Kingstown, RI 02852 | 2011-05-12 |
| Find all providers in zip 02852 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912412800 | Paths of Rhode Island, LLC | Community/Behavioral Health | 30 W Main St Unit B, North Kingstown, RI 02852-5112 | 2017-12-13 |
| 1245533082 | Sunshine Early Child Care Center, Inc | Community/Behavioral Health | 11 Iafrate Way, North Kingstown, RI 02852-1792 | 2010-12-17 |
| 1588042402 | Peace In Mind Counseling, LLC | Community/Behavioral Health | 320 Phillips St, Suite 103, North Kingstown, RI 02852-5166 | 2015-05-12 |
| 1477679629 | Perspectives Corporation | Community/Behavioral Health | 1130 Ten Rod Rd, Building B Suite 101, North Kingstown, RI 02852-4161 | 2007-03-21 |
| 1194841346 | Perspectives Corporation | Community/Behavioral Health | 1130 Ten Rod Rd, Building B Suite 101, North Kingstown, RI 02852-4161 | 2007-03-21 |
| 1659497808 | Perspectives Corporation | Community/Behavioral Health | 1130 Ten Rod Rd, Building B Suite 101, North Kingstown, RI 02852-4161 | 2007-03-21 |
| 1073666913 | Martha Dempster, Licsw, LLC | Community/Behavioral Health | 1130 Ten Rod Rd, Suite D-104, North Kingstown, RI 02852-4180 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406986 | Linds 5, Inc. | Community/Behavioral Health | 152 Harris Rd, Smithfield, RI 02917-1931 | 2020-10-28 |
| 1962002006 | East Side Psychotherapy, Inc. | Community/Behavioral Health | 205 Waterman St # 201, Providence, RI 02906-4313 | 2020-10-28 |
| 1508488305 | Island Light Psychotherapy, LLC | Community/Behavioral Health | 11 King Charles Dr Ste A, Portsmouth, RI 02871-1364 | 2020-05-14 |
| 1134759871 | Create Balance, LLC | Community/Behavioral Health | 155 Park Ave Ste 21, Cranston, RI 02905-2627 | 2020-01-22 |
| 1003323221 | Kathlyn Heckart LLC | Community/Behavioral Health | 38 Bellevue Ave Ste J, Newport, RI 02840-3260 | 2018-01-09 |
| 1053820274 | Inner Peace Counseling, LLC | Community/Behavioral Health | 875 Oaklawn Ave Ste 303, Cranston, RI 02920-2826 | 2017-09-20 |
| 1336677541 | Theadore Perry | Community/Behavioral Health | 251 Indiana Ave, Providence, RI 02905-2822 | 2017-06-01 |
| 1720512536 | Stimz, Inc. | Community/Behavioral Health | 73 Red Brook Ln, West Warwick, RI 02893-7427 | 2017-04-18 |
| 1255863387 | Ludmyr Merlain | Community/Behavioral Health | 52 Felix St, Providence, RI 02908-4837 | 2017-03-29 |
| 1164970331 | Till Inc | Community/Behavioral Health | 110 Parkview Dr Apt 21, Pawtucket, RI 02861-3967 | 2016-09-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH KINGSTOWN |
| Zip Code | 02852 |
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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.