GREATER PROVIDENCE CHAPTER, RIARC (NPI# 1407972284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407972284 |
| Entity Type | Organization |
| Organization Name | GREATER PROVIDENCE CHAPTER, RIARC |
| Other Organization Name | JOHN E. FOGARTY CENTER |
| Practice Address |
22 Buratti Rd Johnston RI 02919-3217 |
| Mailing Address |
220 Woonasquatucket Ave North Providence RI 02911-3196 |
| Practice Telephone | 4015212212 |
| Practice Fax Number | 4013530290 |
| Mailing Telephone | 4013536990 |
| Mailing Fax Number | 4013530290 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN COSTA (CONTROLLER) |
| Authorized Official Telephone | 4013536990 |
| Authorized Official Credential | BS, CPP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 44 | RI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | JF02829 | 05 |
| Other Name | Type Code |
|---|---|
| John E. fogarty Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649396417 | Greater Providence Chapter, Riarc | Intermediate Care Facility, Mentally Retarded | 120 Angell Rd, Lincoln, RI 02865-4709 | 2007-03-22 |
| Street Address |
22 BURATTI RD |
| City | JOHNSTON |
| State | RI |
| Zip Code | 02919-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659935757 | Cheryl K. D'itri | Massage Therapist | 2051 Plainfield Pike, Johnston, RI 02919 | 2019-04-24 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1659862803 | Michaele Marie Colizza | Massage Therapist | 1524 Atwood Ave Ste 213, Johnston, RI 02919 | 2018-05-23 |
| 1609396613 | Peter Dionisopoulos | Physical Therapist | 12 Industrial Ln, Johnston, RI 02919 | 2017-06-21 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1467735720 | Robert Tortolani | Pharmacist | 1387 Plaindield St., Johnston, RI 02919 | 2011-09-23 |
| 1518288075 | Vito F. Ferri | Internal Medicine | 1539 Atwood Ave., Suite 101, Johnston, RI 02919 | 2010-06-18 |
| 1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
| 1922239995 | Heidi C. O'grady | Physical Therapist | 1529 Atwood Avenue, Suite 202, Johnston, TX 02919 | 2009-08-07 |
| 1184855397 | Holly Batura | Counselor | 1516 Hartford Avenue, Johnston, RI 02919 | 2009-08-05 |
| Find all providers in zip 02919 | ||||
| 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 |
|---|---|---|---|---|
| 1790983021 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 5555 Nw 55th Ave, Johnston, IA 50131-1367 | 2007-07-09 |
| 1710022421 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 6225 Morningside Drive, Johnston, IA 50131 | 2007-02-20 |
| 1134261969 | Childserve Homes Inc. | Intermediate Care Facility, Mentally Retarded | 10305 Stonecrest Drive, Johnston, IA 50131 | 2007-02-12 |
| 1538387857 | Childserve Habilitation Center Inc. | Intermediate Care Facility, Mentally Retarded | 5900 Pioneer Pkwy, Johnston, IA 50131-1569 | 2007-04-23 |
| 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 |
| 1124144928 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 40 Leander St, Providence, RI 02909-5636 | 2007-03-22 |
| 1245356955 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 109 Sherwood St, Providence, RI 02908-1617 | 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.