THE ARC OF BLACKSTONE VALLEY (NPI# 1336264969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336264969 |
| Entity Type | Organization |
| Organization Name | THE ARC OF BLACKSTONE VALLEY |
| Practice Address |
195 Manton St Pawtucket RI 02861-4334 |
| Mailing Address |
115 Manton St Pawtucket RI 02861-4332 |
| Practice Telephone | 4017270150 |
| Practice Fax Number | 4017271545 |
| Mailing Telephone | 4017270150 |
| Mailing Fax Number | 4017271545 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHERINE S HUNT (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4017270150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 143 | RI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447375985 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 109 Earl Ave, Riverside, RI 02915-3205 | 2007-03-21 |
| 1396860730 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 305 Owen Ave, Pawtucket, RI 02860-1521 | 2007-03-21 |
| 1932224474 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 73 N Bend St, Pawtucket, RI 02860-3105 | 2007-03-21 |
| 1588789028 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 10 Ethier Way, Cumberland, RI 02864-4910 | 2007-03-21 |
| 1215052758 | The Arc of Blackstone Valley | Day Training, Developmentally Disabled Services | 115 Manton St, Pawtucket, RI 02861-4332 | 2007-03-21 |
| 1578688917 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 130 Dover Ave, East Providence, RI 02914-3114 | 2007-03-21 |
| 1639294234 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 91 Estrell Dr, Riverside, RI 02915-1127 | 2007-03-20 |
| 1508981143 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 125 Columbus Ave, Pawtucket, RI 02860-5550 | 2007-03-20 |
| 1124143748 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 11 Curran Brook Ct, Cumberland, RI 02864-7308 | 2007-03-20 |
| Street Address |
195 MANTON ST |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02861-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629525209 | Brianna Laurila | Dietitian, Registered | 541 Cottage Street, Pawtucket, RI 02861 | 2016-09-01 |
| 1790056430 | Matthew J Lavoie | Physician Assistant | 70 Gill Ave., Pawtucket Center, Genesis Health Care, Pawtucket, RI 02861 | 2012-01-25 |
| 1356359293 | Anita N Vasvani | Dentist | 140 Newport Ave, Pawtucket, RI 02861 | 2006-08-04 |
| 1548294408 | Stop and Shop Supermarket Co LLC | Pharmacy | 368398 Cottage Street, Pawtucket, RI 02861 | 2006-07-10 |
| 1154363695 | Levis M Guzman | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861 | 2006-06-11 |
| 1265938179 | Modern Eyes LLC | Optometrist | 145 Newport Ave, Pawtucket, RI 02861 | 2018-04-01 |
| 1942313929 | Abbas Ghorieshi | Dentist | 115 Newport Ave, Pawtucket, RI 02861 | 2006-08-16 |
| 1114499506 | Arts, Sports, and Technology Resource Organization | Poetry Therapist | 175 Coyle Ave, Pawtucket, RI 02861-1007 | 2018-12-22 |
| 1235600255 | Abdoulaye Soumahoro | Driver | 68 Webster St, Pawtucket, RI 02861-1016 | 2018-12-17 |
| 1376761544 | Professional Internal Medicine Associates Inc | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861-1024 | 2007-04-23 |
| Find all providers in zip 02861 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396860730 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 305 Owen Ave, Pawtucket, RI 02860-1521 | 2007-03-21 |
| 1932224474 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 73 N Bend St, Pawtucket, RI 02860-3105 | 2007-03-21 |
| 1508981143 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 125 Columbus Ave, Pawtucket, RI 02860-5550 | 2007-03-20 |
| 1871618405 | The Arc of Blacksstone Valley | Intermediate Care Facility, Mentally Retarded | 25 Seabiscuit Pl, Pawtucket, RI 02861-4320 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045742 | Community Residences, Inc. Rhode Island | Intermediate Care Facility, Mentally Retarded | Community Residences, Inc. Rhode Island, 10 Dorrance Street, Suite 706, Providence, RI 02903-2003 | 2019-04-01 |
| 1447376264 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 1 Roland St, Riverside, RI 02915-3315 | 2007-03-22 |
| 1760508501 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 2 Testa Cir, North Scituate, RI 02857-1870 | 2007-03-22 |
| 1063538502 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 212 Leah St, Providence, RI 02908-3906 | 2007-03-22 |
| 1326164146 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 181 Ridge Rd, Smithfield, RI 02917-2504 | 2007-03-22 |
| 1457477168 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 7 Tallyho Rd, Cumberland, RI 02864-3911 | 2007-03-22 |
| 1427174234 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 9 Howard Ave, North Providence, RI 02911-1838 | 2007-03-22 |
| 1649396417 | Greater Providence Chapter, Riarc | Intermediate Care Facility, Mentally Retarded | 120 Angell Rd, Lincoln, RI 02865-4709 | 2007-03-22 |
| 1407972284 | Greater Providence Chapter, Riarc | Intermediate Care Facility, Mentally Retarded | 22 Buratti Rd, Johnston, RI 02919-3217 | 2007-03-22 |
| 1124144928 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 40 Leander St, Providence, RI 02909-5636 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
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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.