GREATER PROVIDENCE CHAPTER,RIARC (NPI# 1447376264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447376264 |
| Entity Type | Organization |
| Organization Name | GREATER PROVIDENCE CHAPTER,RIARC |
| Other Organization Name | JOHN E. FOGARTY CENTER |
| Practice Address |
1 Roland St Riverside RI 02915-3315 |
| Mailing Address |
220 Woonasquatucket Ave North Providence RI 02911-3196 |
| Practice Telephone | 4014330687 |
| 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 | 132 | RI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | JF02843 | 05 |
| Other Name | Type Code |
|---|---|
| JOHN E. FOGARTY CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1285750075 | Greater Providence Chapter,riarc | Intermediate Care Facility, Mentally Retarded | 1460 Douglas Ave, North Providence, RI 02904-4032 | 2007-03-22 |
| 1609992163 | Greater Providence Chapter,riarc | Day Training, Developmentally Disabled Services | 220 Woonasquatucket Ave, North Providence, RI 02911-3196 | 2007-03-22 |
| Street Address |
1 ROLAND ST |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| 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 |
|---|---|---|---|---|
| 1447375985 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 109 Earl Ave, Riverside, RI 02915-3205 | 2007-03-21 |
| 1639294234 | The Arc of Blackstone Valley | Intermediate Care Facility, Mentally Retarded | 91 Estrell Dr, Riverside, RI 02915-1127 | 2007-03-20 |
| 1336276013 | Rscr Inland, Inc. | Intermediate Care Facility, Mentally Retarded | 735 Hacienda Dr, Riverside, CA 92507-6039 | 2007-02-28 |
| 1427185883 | Rscr Inland, Inc. | Intermediate Care Facility, Mentally Retarded | 2662 Kevin Ct, Riverside, CA 92506-5117 | 2007-02-27 |
| 1396872792 | Rscr Inland, Inc. | Intermediate Care Facility, Mentally Retarded | 3980 Carrick St, Riverside, CA 92505-3004 | 2007-02-27 |
| 1851428247 | Rscr Inland, Inc. | Intermediate Care Facility, Mentally Retarded | 5091 Chapala Dr, Riverside, CA 92507-5914 | 2007-02-27 |
| 1679600043 | Rscr Inland, Inc. | Intermediate Care Facility, Mentally Retarded | 6760 Olympia Dr, Riverside, CA 92503-1031 | 2007-02-27 |
| 1255468641 | Rscr Inland, Inc. | Intermediate Care Facility, Mentally Retarded | 8368 Verbena Dr, Riverside, CA 92504-2444 | 2007-02-27 |
| 1760519128 | Rscr Inland, Inc. | Intermediate Care Facility, Mentally Retarded | 5475 College Ave, Riverside, CA 92505-3124 | 2007-02-27 |
| 1235264797 | Living In Fulfilling Environments, Inc. | Intermediate Care Facility, Mentally Retarded | 471 Forbes St, Riverside, RI 02915-1621 | 2007-02-23 |
| Find all providers in RIVERSIDE | ||||
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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.