SCITUATE AVENUE GROUP HOME (NPI# 1922133081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922133081 |
Entity Type | Organization |
Organization Name | SCITUATE AVENUE GROUP HOME |
Practice Address |
123 Scituate Ave Johnston RI 02919-4722 |
Mailing Address |
6 Harrington Rd Cranston RI 02920-3080 |
Practice Telephone | 4019443530 |
Mailing Telephone | 4014622659 |
Mailing Fax Number | 4014626631 |
Enumeration Date | 2007-02-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. ELLEN R NELSON (DIRECTOR) |
Authorized Official Telephone | 4014626001 |
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 | 277 | RI | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | LC02092 | 05 |
Street Address |
123 SCITUATE AVE |
City | JOHNSTON |
State | RI |
Zip Code | 02919-4722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659935757 | Cheryl K. D'itri | Massage Therapist | 2051 Plainfield Pike, Johnston, RI 02919 | 2019-04-24 |
1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
1659862803 | Michaele Marie Colizza | Massage Therapist | 1524 Atwood Ave Ste 213, Johnston, RI 02919 | 2018-05-23 |
1609396613 | Peter Dionisopoulos | Physical Therapist | 12 Industrial Ln, Johnston, RI 02919 | 2017-06-21 |
1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
1467735720 | Robert Tortolani | Pharmacist | 1387 Plaindield St., Johnston, RI 02919 | 2011-09-23 |
1518288075 | Vito F. Ferri | Internal Medicine | 1539 Atwood Ave., Suite 101, Johnston, RI 02919 | 2010-06-18 |
1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
1922239995 | Heidi C. O'grady | Physical Therapist | 1529 Atwood Avenue, Suite 202, Johnston, TX 02919 | 2009-08-07 |
1184855397 | Holly Batura | Counselor | 1516 Hartford Avenue, Johnston, RI 02919 | 2009-08-05 |
Find all providers in zip 02919 |
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 |
---|---|---|---|---|
1740308519 | Re-focus Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35 Beechnut Dr, Johnston, RI 02919-3082 | 2007-03-27 |
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 |
1104942408 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Tartaglia St, Johnston, RI 02919-5930 | 2007-03-21 |
1376678433 | Simmons Village Apartments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 343 Simmonsville Ave, Johnston, RI 02919-6058 | 2007-02-22 |
1033244298 | Byron Randall Rd Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Byron Randall Rd, Johnston, RI 02919-5609 | 2007-02-21 |
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 |
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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.