GREATER PROVIDENCE CHAPTER RIARC NPI 1407972284

NPI Information

NPI: 1407972284
Provider Name: GREATER PROVIDENCE CHAPTER, RIARC

Doing Business As: JOHN E. FOGARTY CENTER

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
22 BURATTI RD
JOHNSTON, RI
ZIP 02919
Phone: (401) 521-2212
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GREATER PROVIDENCE CHAPTER, RIARC is an intermediate care facility mentally retarded in Johnston, RI. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GREATER PROVIDENCE CHAPTER, RIARC NPI is 1407972284. The provider is registered as an organization entity type.
The provider Is Doing Business As John E. Fogarty Center.

The provider's business location address is:

22 BURATTI RD
JOHNSTON, RI
ZIP 02919-217
Phone: (401) 521-2212
Fax: (401) 353-0290

The provider's authorized official is John Costa .
The authorized official title is Controller and has the following contact phone number (401) 353-6990.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		44	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	JF02829	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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