COLLEGE PARK APARTMENTS NPI 1093840258

NPI Information

NPI: 1093840258
Provider Name: COLLEGE PARK APARTMENTS
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
612 MOUNT PLEASANT AVE
PROVIDENCE, RI
ZIP 02908
Phone: (401) 331-9872
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COLLEGE PARK APARTMENTS is a community based residential treatment facility, intellectual and/or developmental disabilities in Providence, RI. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. COLLEGE PARK APARTMENTS NPI is 1093840258. The provider is registered as an organization entity type.

The provider's business location address is:

612 MOUNT PLEASANT AVE
PROVIDENCE, RI
ZIP 02908-925
Phone: (401) 331-9872

The provider's authorized official is Ellen R Nelson .
The authorized official title is Director and has the following contact phone number (401) 462-6001.

The enumeration date for this NPI number is 2/21/2007 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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		314	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	LC01619	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: 11/14/2023

NPI Synchronization or Removal

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