AVATAR RESIDENTIAL, INC. (NPI# 1053607754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053607754 |
| Entity Type | Organization |
| Organization Name | AVATAR RESIDENTIAL, INC. |
| Practice Address |
33 College Hill Rd Bldg.33 Warwick RI 02886-2776 |
| Practice Telephone | 4018267500 |
| Practice Fax Number | 4018267503 |
| Mailing Telephone | 4018267500 |
| Mailing Fax Number | 4018267503 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | KATHLEEN A ELLIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4018267500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 136 | RI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | PROVIDER NUMBER | AI54946 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093832339 | Avatar Residential, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 425 New River Rd, Manville, RI 02838-1805 | 2007-03-23 |
| 1225155336 | Avatar Residential, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 250 Garden Hills Dr, Cranston, RI 02920-3428 | 2007-03-23 |
| Street Address |
33 COLLEGE HILL RD BLDG.33 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255381554 | Helen Frances Sheehan | Social Worker | 33 College Hill Rd, Suite 30 E, Warwick, RI 02886-2776 | 2006-05-10 |
| 1548710072 | Jennifer A Frey | Counselor | 33 College Hill Rd, Bld 29c, Warwick, RI 02886-2776 | 2016-10-07 |
| 1821416306 | Malchar Chiropractic Center, Ltd. | Chiropractor | 33 College Hill Rd, Suite 30c, Warwick, RI 02886-2776 | 2014-04-02 |
| 1265874614 | Ashley Elizabeth Marzullo | Counselor | 33 College Hill Rd, Ste 30e, Warwick, RI 02886-2776 | 2013-07-26 |
| 1073888798 | Leland S Blough Jr Dmd Ltd | Dentist | 33 College Hill Rd, Suite 5a, Warwick, RI 02886-2776 | 2012-03-13 |
| 1841507589 | Candace Eileene Murray | Counselor | 33 College Hill Rd, Ste 30e, Warwick, RI 02886-2776 | 2010-09-01 |
| 1265636500 | Malchar Chiropractic | Chiropractor | 33 College Hill Rd, Warwick, RI 02886-2776 | 2007-06-12 |
| 1326253253 | G. Miles Mullervy | Social Worker | 33 College Hill Rd, Ste 30e, Warwick, RI 02886-2776 | 2007-05-14 |
| 1972715506 | Therese A Rando | Psychologist | 33 College Hill Rd, Bldg. 30a, Warwick, RI 02886-2776 | 2007-05-04 |
| 1700906419 | Therese A. Rando Associates, Ltd. | Counselor | 33 College Hill Rd, Bldg. 30a, Warwick, RI 02886-2776 | 2007-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336435031 | West Bay Residential Services Inc. | Day Training, Developmentally Disabled Services | 158 Knight St, Warwick, RI 02886-1225 | 2011-06-22 |
| 1053538041 | Community Living of Rhode Island | Day Training, Developmentally Disabled Services | 349 Centerville Road Bldg 6, Bldg 6, Warwick, RI 02886 | 2007-04-19 |
| 1548317092 | Cornerstone Adult Services, Inc. | Day Training, Developmentally Disabled Services | 140 Warwick Neck Ave, Warwick, RI 02889-5308 | 2007-01-05 |
| 1710274402 | J, Arthur Trudeau Memorial Center | Day Training, Developmentally Disabled Services | 3445 Post Rd, Warwick, RI 02886-7147 | 2011-07-01 |
| 1861788457 | Cornerstone Adult Services, Inc. | Day Training, Developmentally Disabled Services | 140 Warwick Neck Ave, Warwick, RI 02889-5308 | 2011-06-22 |
| 1558482372 | Crayons Childcare and Family Services Inc. | Day Training, Developmentally Disabled Services | 3445 Post Rd, Warwick, RI 02886-7147 | 2007-04-02 |
| 1164549317 | J.arthur Trudeau Memorial Center Conversion Waivers | Day Training, Developmentally Disabled Services | 3445 Post Rd, Warwick, RI 02886-7147 | 2007-03-23 |
| 1497872683 | J. Arthur Trudeau Memorial Center | Day Training, Developmentally Disabled Services | 3445 Post Rd, Warwick, RI 02886-7147 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526336 | Whitmarsh Corporation | Day Training, Developmentally Disabled Services | 508 West Ave, Pawtucket, RI 02860-5966 | 2018-08-01 |
| 1609164144 | The Fogarty Center | Day Training, Developmentally Disabled Services | 310 Maple Avenue, Suite 102, Barrington, RI 02806 | 2011-07-19 |
| 1053608265 | Re-focus Inc. | Day Training, Developmentally Disabled Services | 45 Greeley St, Providence, RI 02904-2214 | 2011-07-08 |
| 1730476029 | The Arc of Bristol County, Inc | Day Training, Developmentally Disabled Services | 333 George Washington Hwy, Smithfield, RI 02917-1948 | 2011-07-07 |
| 1710273370 | The Fogarty Center. | Day Training, Developmentally Disabled Services | 310 Maple Ave Ste 102, Barrington, RI 02806-3431 | 2011-06-22 |
| 1376713834 | Creative Options, Inc. | Day Training, Developmentally Disabled Services | 91 Weaver Rd, North Kingstown, RI 02852-7135 | 2008-03-11 |
| 1376751867 | Resources for Human Development | Day Training, Developmentally Disabled Services | 413 Central Ave, Pawtucket, RI 02861-1967 | 2007-05-18 |
| 1366650178 | Opportunities Unlimited for People With Differeing Abilities, Inc | Day Training, Developmentally Disabled Services | 1 Worthington Rd, Cranston, RI 02920-7939 | 2007-05-18 |
| 1992910053 | Training Thru Placement | Day Training, Developmentally Disabled Services | 20 Marblehead Ave, North Providence, RI 02904-4248 | 2007-05-11 |
| 1720107113 | Frank Olean Center, Inc. | Day Training, Developmentally Disabled Services | 93 Airport Rd, Westerly, RI 02891-3420 | 2007-03-28 |
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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.