AVATAR RESIDENTIAL INC.


Address: 14 Dexter Rock Rd, Lincoln, RI 02865-1420
Phone: 4013334383

AVATAR RESIDENTIAL INC. (NPI# 1649397795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649397795
Entity Type Organization
Organization Name AVATAR RESIDENTIAL INC.
Practice Address 14 Dexter Rock Rd
Lincoln
RI 02865-1420
Mailing Address 33 College Hill Rd
Building 33
Warwick
RI 02886-2776
Practice Telephone 4013334383
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 317 RI Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
RI PROVIDER NUMBER AR01379 01

Other Provider IDs and Locations

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
1528185600 Avatar Residential Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 294 Buttonwoods Ave, Warwick, RI 02886-7545 2007-03-23
1366569030 Avatar Residential Inc. Community/Behavioral Health 33 College Hill Rd, Building 33, Warwick, RI 02886-2776 2007-03-26

Office Location

Street Address 14 DEXTER ROCK RD
City LINCOLN
State RI
Zip Code 02865-1420

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346749868 Ckri Incorporated In Home Supportive Care 1525 Old Louisquissett Pike, C201, Lincoln, RI 02865 2018-02-10
1053824805 Daniel Boulanger Specialist/Technologist 1762 Louisquisset Pike, Lincoln, RI 02865 2017-11-14
1013449677 Daniel Gardner Physical Therapist 618 George Washington Hwy, Lincoln, RI 02865 2017-03-31
1801335138 Lucille Ellen Plasse Registered Nurse 19 Old Great Road, Lincoln, RI 02865 2017-02-20
1558752014 Northern Rhode Island Cognitive Behavioral Therapy Inc Social Worker 640 George Washington Hwy Ste 103, Lincoln, RI 02865 2015-02-05
1528313004 Sandra Faria Counselor 1525 Old Louisquisset Pike Ste B104, Lincoln, RI 02865 2012-07-19
1982832671 Deborah F Katcher-buckley Nurse Practitioner 2 Wake Robin Rd Unit 201, Lincoln, RI 02865 2009-07-01
1558541011 Dawn Marie Maguire Social Worker 640 George Washington Hwy Ste, Bdg B, Ste 103, Lincoln, RI 02865 2007-11-13
1477675262 Rhode Island Hospital Internal Medicine 701 George Washington Hwy Ste 100, Lincoln, RI 02865 2007-04-04
1083789218 Thomas Patrick Hines Pediatrics 6 Blackstone Valley Place Suite 306b, Lincoln, RI 02865 2006-11-22
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083278899 Region V Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3600 Union Dr, Lincoln, NE 68516-6623 2019-04-26
1003368705 Kameelah Fletcher Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4826 Madison Ave #5, Lincoln, NEBRASKA 68504 2016-10-28
1871968495 Cra, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 816 Wyatt Ave, Lincoln, IL 62656-3145 2015-12-08
1245642396 Scott Adult Family Enterprises, Nebraska Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5966 Silver Brook Pl, Lincoln, NE 68521-5413 2014-05-23
1205015096 Developmental Services of Missouri, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 578 Blue Sage Blvd, Lincoln, NE 68521-6628 2007-10-29
1598883696 Ocean State Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 70 Cobble Hill Rd, Lincoln, RI 02865-4006 2007-03-27
1942335955 Washington Hills Apartments Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10 Wake Robin Rd, Building 100, Lincoln, RI 02865-4209 2007-02-22
1053456194 Southwick Group Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 27 Southwick Drive, Lincoln, RI 02865-4821 2007-02-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639307176 Perspectives Corporation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 53 Dockray Street, Wakefield, RI 02879 2009-06-23
1740302082 Spurwinkri-brook Drive Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10 Brook Dr, Hope Valley, RI 02832-2504 2007-04-06
1275655425 Spurwink Ri - Crompton Road Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 106 Crompton Rd, East Greenwich, RI 02818-1202 2007-04-06
1699897942 Spurwink Ri-south County Trail Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2944 S County Trl, East Greenwich, RI 02818-1429 2007-04-06
1700908969 Spurwink Ri - Peaked Rock Road Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 33 Peaked Rock Rd, Wakefield, RI 02879-2380 2007-04-06
1235251489 Spurwink Ri - Seven Mile Road Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 569 Seven Mile Rd, Hope, RI 02831-1850 2007-04-06
1467574624 Spurwink Ri - Plainfield Pike Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1150 Plainfield Pike, Cpu Summit General Store, RI 02827-1904 2007-04-06
1881713733 Re-focus Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 18 11th St, Providence, RI 02906-2910 2007-03-29
1982723987 Re-focus Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7 Cooke Dr, North Scituate, RI 02857-1609 2007-03-29
1154440188 Re-focus Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 179 Bourne St, North Providence, RI 02904-3707 2007-03-29
Find all providers with the same taxonomy

Competitor

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City LINCOLN
Zip Code 02865

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Dataset Information

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.

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