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THE PROVIDENCE CENTER NPI 1609818210


NPI Information

NPI: 1609818210
Provider Name: THE PROVIDENCE CENTER
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
90 PLAIN ST
PROVIDENCE, RI
ZIP 02903
Phone: (401) 528-0050
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THE PROVIDENCE CENTER is a residential treatment facility emotionally disturbed children in Providence, RI. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. THE PROVIDENCE CENTER NPI is 1609818210. The provider is registered as an organization entity type.

The provider's business location address is:

90 PLAIN ST
PROVIDENCE, RI
ZIP 02903-817
Phone: (401) 528-0050

The provider's authorized official is Donna Richard .
The authorized official title is Practice Administrator and has the following contact phone number (401) 528-0140.

The enumeration date for this NPI number is 6/11/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children631.8RHODE ISLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
123770OTHERRHODE ISLANDBLUE CROSS
21021730OTHERRHODE ISLANDBEACON
350-64724OTHERRHODE ISLANDUNITED BEHAVIORAL HEALTH
4PC02213MEDICAIDRHODE ISLAND
5410282OTHERRHODE ISLANDBLUE CHIP

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: 11/14/2023

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