Avatar Residential Inc. in Warwick - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Avatar Residential Inc. - NPI 1649397795

Avatar Residential Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Warwick, Rhode Island. Avatar Residential Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Avatar Residential Inc. is 1649397795. The last update date is 2020-08-22.

Avatar Residential Inc.'s current location address is 33 College Hill Rd, Warwick, Rhode Island. You can contact this provider via phone number 4018267500 and fax number 4018267503. The mailing address for Avatar Residential Inc. is 33 College Hill Rd, Warwick, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Organization Avatar Residential Inc.
Address 33 College Hill Rd, Warwick, Rhode Island
Phone Number 4018267500
Fax Number 4018267503
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Ellis A. Kathleen
Telephone Number 4018267500

NPI Number Detail

NPI Number 1649397795
Provider Enumeration Date 2007-03-23
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 33 College Hill Rd
City Warwick
State Rhode Island (RI)
Post Code 28862776
Phone Number 4018267500
Fax Number 4018267503

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No 317
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
AR01379 RI PROVIDER NUMBER

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FAQs about Avatar Residential Inc.

What is the Avatar Residential Inc.'s 1649397795?

The Avatar Residential Inc.'s NPI (National Provider Identifier) Number is 1649397795. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Avatar Residential Inc.?

The Avatar Residential Inc. is physically situated at 33 College Hill Rd, in the city of Warwick, state of RI, with the postal code 28862776.

What is Avatar Residential Inc.'s area of expertise and its corresponding taxonomy classification?

The Avatar Residential Inc.'s field of specialization 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 areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1649397795 to Avatar Residential Inc.?

The Avatar Residential Inc. received its 1649397795 assignment from the Centers for Medicare & Medicaid Services on 2007-03-23.

As of what date were the details pertaining to Avatar Residential Inc. last refreshed?

The information related to the Avatar Residential Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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