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PROVIDENCE COMMUNITY ACTION NPI 1780768234


NPI Information

NPI: 1780768234
Provider Name: PROVIDENCE COMMUNITY ACTION
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
662 HARTFORD AVENUE
PROVIDENCE, RI
ZIP 02909
Phone: (401) 272-0660
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PROVIDENCE COMMUNITY ACTION is a community behavioral health in Providence, RI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PROVIDENCE COMMUNITY ACTION NPI is 1780768234. The provider is registered as an organization entity type.

The provider's business location address is:

662 HARTFORD AVENUE
PROVIDENCE, RI
ZIP 02909
Phone: (401) 272-0660
Fax: (401) 454-0195

The provider's authorized official is Digna Marrero .
The authorized official title is Senior Administrator and has the following contact phone number (401) 272-0660.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 10/9/2009.


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
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral Health615.1RHODE ISLANDNo
3251S00000XCommunity/Behavioral HealthYes

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
1PC12087MEDICAIDRHODE ISLAND
21021990OTHERRHODE ISLANDBEACON
3303635-5OTHERRHODE ISLANDBLUE CROSS
4410608OTHERRHODE 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: 4/28/2024

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