HARBOR HOUSE (NPI# 1992053896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992053896 |
| Entity Type | Organization |
| Organization Name | HARBOR HOUSE |
| Other Organization Name | PROVIDENCE CLUBHOUSE DEVELOPMENT GROUP |
| Practice Address |
12 Bassett St Providence RI 02903-4206 |
| Practice Telephone | 4012735100 |
| Practice Fax Number | 4012735107 |
| Mailing Telephone | 4012735100 |
| Mailing Fax Number | 4012735107 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |
| Authorized Official Name | MR. RALPH A. LORD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4012735100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 638.01 | RI | Agencies |
| Other Name | Type Code |
|---|---|
| Providence Clubhouse Development Group | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740543495 | Harbor House | Assisted Living Facility | 10 Moon St, Apt. #2, Boston, MA 02113-2002 | 2012-06-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HARBOR HOUSE | 430 E Avenida De Los Arboles Ste 203a, Thousand Oaks, CA 91360-3017 |
| Iowa Business Entities | HARBOR HOUSE | 11 4th St Ne Po Box 1567, Mason City, IA 50402-1567 |
| System for Award Management (SAM) Entities | HARBOR HOUSE APARTMENTS | 606 Schock Road, Harbor Beach, MI 48441-9705 |
| Washington State Corporations | HARBOR HOUSE ASSOCIATES | Po Box 9, Redmond, WA 98073 |
| Virginia Business Entities | HARBOR HOUSE ASSOCIATION INC. | Po Box 41, Deltaville, Virginia 23043 |
| Connecticut Business Registrations | HARBOR HOUSE AT GREENWICH POINT INC. | 31 Brookside Drive, Greenwich, CT 06830 |
| Iowa Business Entities | HARBOR HOUSE CHRISTIAN STORE, INC. | 703 Ilion Ave, Chariton, IA 50049 |
| Colorado Business Entities | Harbor House Collaborative | 1710 E. Pikes Peak Avenue, Suite 100, Colorado Springs, CO 80909 |
| Connecticut Business Registrations | HARBOR HOUSE CONDOMINIUM ASSOCIATION, INC. | 15-25 Ellsworth St, Bridgeport, CT 06605 |
| Massachusetts Corporations | HARBOR HOUSE FOOD SERVICE, INC. | 116 East Main St., Gloucester, MA 01930 |
| Street Address |
12 BASSETT ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| 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 |
|---|---|---|---|---|
| 1962002006 | East Side Psychotherapy, Inc. | Community/Behavioral Health | 205 Waterman St # 201, Providence, RI 02906-4313 | 2020-10-28 |
| 1336677541 | Theadore Perry | Community/Behavioral Health | 251 Indiana Ave, Providence, RI 02905-2822 | 2017-06-01 |
| 1255863387 | Ludmyr Merlain | Community/Behavioral Health | 52 Felix St, Providence, RI 02908-4837 | 2017-03-29 |
| 1922478056 | Clear Recovery of Cache Valley | Community/Behavioral Health | 277 N Spring Creek Pkwy, Providence, UT 84332-9775 | 2015-10-01 |
| 1578859179 | Whitmarsh Corporation | Community/Behavioral Health | 1055 N Main St, Providence, RI 02904-5718 | 2011-06-22 |
| 1528352424 | Capital City | Community/Behavioral Health | 25 Danforth St, Providence, RI 02908-3610 | 2011-06-08 |
| 1295028272 | The Genesis Center | Community/Behavioral Health | 620 Potters Ave, Providence, RI 02907-2931 | 2011-05-24 |
| 1568608461 | Adoption Rhode Island | Community/Behavioral Health | 2 Bradford St, Providence, RI 02903-1092 | 2008-12-23 |
| 1457549578 | Nickerson Community Center | Community/Behavioral Health | 97 Delaine St, Providence, RI 02909-2726 | 2007-10-15 |
| 1821218587 | Map Behavioral Health Serv. Inc. | Community/Behavioral Health | 66 Burnett Street, Providence, RI 02907 | 2007-04-26 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on HARBOR HOUSE.
| 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.