R.I.S.A.T. LLC NPI 1174521488

NPI Information

NPI: 1174521488
Provider Name: R.I.S.A.T., LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
66 PAVILION AVE
PROVIDENCE, RI
ZIP 02905
Phone: (401) 461-9110
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R.I.S.A.T., LLC is a rehabilitation and substance use disorder clinic center in Providence, RI. R.I.S.A.T., LLC NPI is 1174521488. The provider is registered as an organization entity type.

The provider's business location address is:

66 PAVILION AVE
PROVIDENCE, RI
ZIP 02905-522
Phone: (401) 461-9110
Fax: (401) 461-9194

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 8/14/2023.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	608	RHODE ISLAND	No
2	261QM2800X	Clinic/Center	Methadone			No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	608	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	410268	OTHER	RHODE ISLAND	BLUECHIP RITECARE
2	SP02546	MEDICAID	RHODE ISLAND
3	84-10032	OTHER	RHODE ISLAND	UNITED HEALTHCARE
4	1017610	OTHER	RHODE ISLAND	BEACON HEALTH STRATEGIES

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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