ROGERS HOME INC (NPI# 1639799539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639799539 |
| Entity Type | Organization |
| Organization Name | ROGERS HOME INC |
| Practice Address |
105 Beechwood Ave Pawtucket RI 02860-5409 |
| Mailing Address |
1361 Broad St Central Falls RI 02863-1004 |
| Practice Telephone | 4019964379 |
| Mailing Telephone | 4019964379 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | FRANK MOREAU (VICE PRESIDENT/DIRECTOR) |
| Authorized Official Telephone | 4019964379 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Rogers Home for Sober Living | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 28 Columbia St, Wakefield, RI 028793210 | 4019964379 |
| Street Address |
105 BEECHWOOD AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045782 | Galilee Mission | Substance Abuse Rehabilitation Facility | 268 Kingstown Rd, Narragansett, RI 02882-3237 | 2009-07-02 |
| 1992884787 | Phoenix Houses of Ne Inc | Substance Abuse Rehabilitation Facility | 99 Wayland Ave, Suite 100, Providence, RI 02906-4314 | 2006-11-03 |
| 1871004754 | Palo Recovery Counseling | Substance Abuse Rehabilitation Facility | 55 Opper Ave, Warwick, RI 02889-2744 | 2017-10-18 |
| 1205387966 | Second Chnaces, Inc. | Substance Abuse Rehabilitation Facility | 381 Wickenden St, Providence, RI 02903-4425 | 2016-10-18 |
| 1477951176 | Map Behavioral Health Services, Inc | Substance Abuse Rehabilitation Facility | 66 Burnett St, Providence, RI 02907-2527 | 2014-12-11 |
| 1164822474 | Adcare Rhode Island | Substance Abuse Rehabilitation Facility | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2014-08-25 |
| 1093848327 | Sstar of Rhode Island, Inc. | Substance Abuse Rehabilitation Facility | 1950 Tower Hill Rd, North Kingstown, RI 02852-6628 | 2007-03-14 |
| 1841323094 | Sstar of Rhode Island, Inc. | Substance Abuse Rehabilitation Facility | 80 East St, Cranston, RI 02920-4421 | 2007-03-14 |
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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.