Stonehenge Road Group Home in Kingston - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Stonehenge Road Group Home - NPI 1093840175
Stonehenge Road Group Home is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Kingston, Rhode Island. Stonehenge 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 Stonehenge Road Group Home is 1093840175. The last update date is 2020-08-22.
Stonehenge Road Group Home's current location address is 100 Stonehenge Rd, Kingston, Rhode Island. You can contact this provider via phone number 4017895870. The mailing address for Stonehenge Road Group Home is 100 Stonehenge Rd, Kingston, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stonehenge Road Group Home |
|---|---|
| Address | 100 Stonehenge Rd, Kingston, Rhode Island |
| Phone Number | 4017895870 |
| 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 | 1093840175 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 100 Stonehenge Rd |
|---|---|
| City | Kingston |
| State | Rhode Island (RI) |
| Post Code | 28811813 |
| Phone Number | 4017895870 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 311 |
|
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 |
|---|---|---|---|
| LC02455 | RI | -- |
Post Comment/ Review Below
What is the Stonehenge Road Group Home's 1093840175?
The Stonehenge Road Group Home's NPI (National Provider Identifier) Number is 1093840175. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stonehenge Road Group Home located?
The Stonehenge Road Group Home is located at 100 Stonehenge Rd, Kingston, RI 28811813.
What is the area of specialization for Stonehenge Road Group Home, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stonehenge Road Group Home is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
When did the Stonehenge Road Group Home receive its 1093840175?
The Stonehenge Road Group Home was issued its 1093840175 on 2007-02-22, which is the date when the organization was assigned this unique identifier.
When was the information regarding Stonehenge Road Group Home most recently updated?
The details pertaining to the Stonehenge Road Group Home, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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