Kenyon School Road Group Home in Cranston - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Kenyon School Road Group Home - NPI 1689719106

Kenyon School Road Group Home is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Cranston, Rhode Island. Kenyon School 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 Kenyon School Road Group Home is 1689719106. The last update date is 2020-08-22.

Kenyon School Road Group Home's current location address is 6 Harrington Rd, Cranston, Rhode Island. You can contact this provider via phone number 4014622659 and fax number 4014626631. The mailing address for Kenyon School Road Group Home is 6 Harrington Rd, Cranston, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kenyon School Road Group Home
Address 6 Harrington Rd, Cranston, Rhode Island
Phone Number 4014622659
Fax Number 4014626631
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Nelson R Ellen
Telephone Number 4014626001

NPI Number Detail

NPI Number 1689719106
Provider Enumeration Date 2007-02-21
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 6 Harrington Rd
City Cranston
State Rhode Island (RI)
Post Code 29203080
Phone Number 4014622659
Fax Number 4014626631

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No 228
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
LC01898 RI --

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FAQs about Kenyon School Road Group Home

What is the unique 10-digit identification code assigned to Kenyon School Road Group Home by the Centers for Medicare & Medicaid Services?

The Kenyon School Road Group Home has been issued the NPI (National Provider Identifier) 1689719106, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kenyon School Road Group Home is located?

The Kenyon School Road Group Home is situated at the following address: 6 Harrington Rd, Cranston, RI, 29203080.

What is Kenyon School Road Group Home's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenyon School Road Group Home's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1689719106 to Kenyon School Road Group Home?

The Centers for Medicare & Medicaid Services assigned the 1689719106 to Kenyon School Road Group Home on 2007-02-21.

When was the information regarding Kenyon School Road Group Home, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kenyon School Road Group Home, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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