East Killingly Road Group Home in Foster - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
East Killingly Road Group Home - NPI 1700911971
East Killingly Road Group Home is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Foster, Rhode Island. East Killingly Road Group Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for East Killingly Road Group Home is 1700911971. The last update date is 2020-08-22.
East Killingly Road Group Home's current location address is 94 E Killingly Rd, Foster, Rhode Island. You can contact this provider via phone number 4016477040. The mailing address for East Killingly Road Group Home is 94 E Killingly Rd, Foster, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Killingly Road Group Home |
|---|---|
| Address | 94 E Killingly Rd, Foster, Rhode Island |
| Phone Number | 4016477040 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Nelson R Ellen |
| Telephone Number | 4014626001 |
NPI Number Detail
| NPI Number | 1700911971 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 94 E Killingly Rd |
|---|---|
| City | Foster |
| State | Rhode Island (RI) |
| Post Code | 28251432 |
| Phone Number | 4016477040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 271 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LC02851 | RI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to East Killingly Road Group Home?
The East Killingly Road Group Home has been issued the NPI (National Provider Identifier) 1700911971 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where East Killingly Road Group Home is geographically located?
The East Killingly Road Group Home is physically situated at the following location: 94 E Killingly Rd, Foster, RI, 28251432.
What is the East Killingly Road Group Home's area of specialization and corresponding taxonomy classification?
The East Killingly Road Group Home's specialty field is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their specialties.
On what date did the East Killingly Road Group Home receive its 1700911971 assignment from the Centers for Medicare & Medicaid Services?
The East Killingly Road Group Home was assigned its 1700911971 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date were the details pertaining to East Killingly Road Group Home last refreshed?
The information related to the East Killingly Road Group Home, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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