J.ARTHUR TRUDEAU MEMORIAL CENTER URBAN AVENUE RESIDENTIAL HOME (NPI# 1407973654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407973654 |
| Entity Type | Organization |
| Organization Name | J.ARTHUR TRUDEAU MEMORIAL CENTER URBAN AVENUE RESIDENTIAL HOME |
| Practice Address |
3445 Post Rd Warwick RI 02886-7147 |
| Practice Telephone | 4017392700 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BOB TEOLIS (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 4017392700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
3445 POST RD |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-7147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306871744 | Gina Lynn Alston | Occupational Therapist | 3445 Post Rd, Warwick, RI 02886-7147 | 2006-07-12 |
| 1124680434 | Jessica Quinn | Case Manager/Care Coordinator | 3445 Post Rd, Warwick, RI 02886-7147 | 2019-07-08 |
| 1083276133 | Stephanie Swain | Social Worker | 3445 Post Rd, Warwick, RI 02886-7147 | 2019-06-28 |
| 1649831033 | Mary Bernadette Dawson | Point of Service | 3445 Post Rd, Warwick, RI 02886-7147 | 2019-06-26 |
| 1043784416 | Sarah Andrade | Case Manager/Care Coordinator | 3445 Post Rd, Warwick, RI 02886-7147 | 2019-01-18 |
| 1730657511 | Julie Singer-leavitt | Social Worker | 3445 Post Rd, Warwick, RI 02886-7147 | 2018-11-09 |
| 1326547738 | Kelsey Iris Laramee | Behavioral Analyst | 3445 Post Rd, Warwick, RI 02886-7147 | 2018-02-12 |
| 1437660966 | Lily Nieto | Case Manager/Care Coordinator | 3445 Post Rd, Warwick, RI 02886-7147 | 2017-10-24 |
| 1750890257 | Mary Wahl | Case Manager/Care Coordinator | 3445 Post Rd, Warwick, RI 02886-7147 | 2017-09-27 |
| 1649789553 | Sherry Phillips | Case Manager/Care Coordinator | 3445 Post Rd, Warwick, RI 02886-7147 | 2017-09-22 |
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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 | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528185600 | Avatar Residential Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 294 Buttonwoods Ave, Warwick, RI 02886-7545 | 2007-03-23 |
| 1821114455 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Greenwich Ave, Warwick, RI 02886-1212 | 2007-03-22 |
| 1750407052 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 48 Fairway Ln, Warwick, RI 02889-2232 | 2007-03-21 |
| 1831215136 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 836 Church Ave, Warwick, RI 02889-2952 | 2007-03-21 |
| 1528183969 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 169 Grayson Ave, Warwick, RI 02886-2111 | 2007-03-21 |
| 1720170202 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 158 Knight Street, Warwick, RI 02886 | 2006-09-29 |
| 1881711034 | J.arthur Trudeau Memorial Center Picard Residential Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3445 Post Rd, Warwick, RI 02886-7147 | 2007-03-23 |
| 1699892844 | J.arthur Trudeau Memorial Center Titus Lane Residential Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3445 Post Rd, Warwick, RI 02886-7147 | 2007-03-23 |
| 1598882748 | J.arthur Trudeau Memorial Center West Shore Rd Residential Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3445 Post Rd, Warwick, RI 02886-7147 | 2007-03-23 |
| 1316064561 | J.arthur Trudeau Memorial Center Coventry House Residential Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3445 Post Rd, Warwick, RI 02886-7147 | 2007-03-23 |
| Find all providers in WARWICK | ||||
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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.