AVATAR RESIDENTIAL INC. (NPI# 1528185600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528185600 |
| Entity Type | Organization |
| Organization Name | AVATAR RESIDENTIAL INC. |
| Practice Address |
294 Buttonwoods Ave Warwick RI 02886-7545 |
| Mailing Address |
33 College Hill Rd Building 33 Warwick RI 02886-2776 |
| Practice Telephone | 4017388310 |
| Mailing Telephone | 4018267500 |
| Mailing Fax Number | 4018267503 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHLEEN A. ELLIS (VICE PRESIDENT) |
| Authorized Official Telephone | 4018267500 |
| 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 | 257 | RI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | PROVIDER NUMBER | AR26011 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376660043 | Avatar Residential Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Lillian Ln, Cranston, RI 02920-6200 | 2007-03-26 |
| 1356468011 | Avatar Residential Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Sherman Ave, Cranston, RI 02920-3813 | 2007-03-26 |
| 1457478125 | Avatar Residential Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 221 Jillson Ave, Woonsocket, RI 02895-5934 | 2007-03-26 |
| 1518084508 | Avatar Residential Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Deerfield Dr, West Warwick, RI 02893-3240 | 2007-03-23 |
| 1982721056 | Avatar Residential Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Bertenshaw Rd, Woonsocket, RI 02895-6005 | 2007-03-23 |
| 1649397795 | Avatar Residential Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Dexter Rock Rd, Lincoln, RI 02865-1420 | 2007-03-23 |
| 1366569030 | Avatar Residential Inc. | Community/Behavioral Health | 33 College Hill Rd, Building 33, Warwick, RI 02886-2776 | 2007-03-26 |
| Street Address |
294 BUTTONWOODS AVE |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-7545 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1407973654 | J.arthur Trudeau Memorial Center Urban Avenue 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.