Gardner Drive Group Home in Westerly - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Gardner Drive Group Home - NPI 1982739165
Gardner Drive Group Home is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Westerly, Rhode Island. Gardner Drive 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 Gardner Drive Group Home is 1982739165. The last update date is 2020-08-22.
Gardner Drive Group Home's current location address is 21 Gardner Dr, Westerly, Rhode Island. You can contact this provider via phone number 4015965872. The mailing address for Gardner Drive Group Home is 21 Gardner Dr, Westerly, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gardner Drive Group Home |
|---|---|
| Address | 21 Gardner Dr, Westerly, Rhode Island |
| Phone Number | 4015965872 |
| 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 | 1982739165 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 21 Gardner Dr |
|---|---|
| City | Westerly |
| State | Rhode Island (RI) |
| Post Code | 28912528 |
| Phone Number | 4015965872 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 318 |
|
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 |
|---|---|---|---|
| LC02372 | RI | -- |
Post Comment/ Review Below
What is the Gardner Drive Group Home's 1982739165?
The Gardner Drive Group Home's NPI (National Provider Identifier) Number is 1982739165. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gardner Drive Group Home's facilities are situated?
The facilities of Gardner Drive Group Home are physically located at the following address: 21 Gardner Dr, Westerly, RI, 28912528.
What is Gardner Drive Group Home's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gardner Drive Group Home is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
On what date did the Gardner Drive Group Home receive the assignment of its 1982739165 from the Centers for Medicare & Medicaid Services?
The Gardner Drive Group Home was issued its 1982739165 by the Centers for Medicare & Medicaid Services on 2007-02-21.
When was the information regarding Gardner Drive Group Home, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gardner Drive Group Home, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.