WEST BAY RESIDENTIAL SERVICES INC (NPI# 1750407052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750407052 |
| Entity Type | Organization |
| Organization Name | WEST BAY RESIDENTIAL SERVICES INC |
| Practice Address |
48 Fairway Ln Warwick RI 02889-2232 |
| Mailing Address |
158 Knight St Warwick RI 02886-1225 |
| Practice Telephone | 4017393795 |
| Mailing Telephone | 4017389300 |
| Mailing Fax Number | 4017382787 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN DIMARCO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4017389300 |
| 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 | 215 | RI | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871610980 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 Thistle Dr, Cranston, RI 02920-3131 | 2007-03-23 |
| 1184740789 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 155 Oakland Ave, Cranston, RI 02910-4525 | 2007-03-22 |
| 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 |
| 1164548798 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 Knollwood Ave, Cranston, RI 02910-3115 | 2007-03-22 |
| 1861518847 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 199 Glen Hills Dr, Cranston, RI 02920-3516 | 2007-03-22 |
| 1922124221 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 Dawn Dr, Johnston, RI 02919-4648 | 2007-03-21 |
| 1487770780 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 Lillian Rd, Johnston, RI 02919-4615 | 2007-03-21 |
| 1578689873 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Natick Ave, Cranston, RI 02921-1106 | 2007-03-21 |
| 1568588879 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 183 Burdick Dr, Cranston, RI 02920-1519 | 2007-03-21 |
| 1740306042 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 Whiting St, Cranston, RI 02920-4026 | 2007-03-21 |
| Street Address |
48 FAIRWAY LN |
| City | WARWICK |
| State | RI |
| Zip Code | 02889-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801287933 | Alan Ezovski | Social Worker | 105 West Shore Road, Warwick, RI 02889 | 2015-02-11 |
| 1093119315 | Etta Oye | Nurse Practitioner | 44 Beatrice Ave., Warwick, RI 02889 | 2014-10-15 |
| 1114261799 | Chantele Petrocelli | Counselor | 177 Airport Rd, Warwick, RI 02889 | 2012-11-20 |
| 1982803185 | Jody J Ritter | Counselor | 66 Rocky Point Ave., Warwick, RI 02889 | 2007-07-17 |
| 1205958030 | Albert M Glucksman | Optometrist | 1624 Warwick Ave, Warwick, RI 02889 | 2007-04-04 |
| 1558486639 | Bayside Nursing LLC | Home Health | 177 Airport Road, Warwick, RI 02889 | 2007-03-20 |
| 1760547582 | Child Inc. | Social Worker | 160 Draper Avenue, Warwick, RI 02889 | 2006-12-22 |
| 1760431514 | David W Pearson | Psychiatry & Neurology | 1087 Warwick Ave., Warwick, RI 02889 | 2006-05-09 |
| 1215913215 | Pamela Jo San Antonio | Pediatrics | 161 Airport Road, Warwick, RI 02889 | 2005-12-21 |
| 1417072273 | Bayside Nursing LLC | Home Health | 177 Airport Road, Warwick, RI 02889 | 2007-03-20 |
| Find all providers in zip 02889 | ||||
| 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 |
| 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.