Avatar Residential Inc. in Cranston - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Avatar Residential Inc. - NPI 1376660043
Avatar Residential Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Cranston, 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 1376660043. The last update date is 2020-08-22.
Avatar Residential Inc.'s current location address is 15 Lillian Ln, Cranston, Rhode Island. You can contact this provider via phone number 4019420720. The mailing address for Avatar Residential Inc. is 15 Lillian Ln, Cranston, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avatar Residential Inc. |
|---|---|
| Address | 15 Lillian Ln, Cranston, Rhode Island |
| Phone Number | 4019420720 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Ellis A. Kathleen |
| Telephone Number | 4018267500 |
NPI Number Detail
| NPI Number | 1376660043 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 15 Lillian Ln |
|---|---|
| City | Cranston |
| State | Rhode Island (RI) |
| Post Code | 29206200 |
| Phone Number | 4019420720 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 254 |
|
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 |
|---|---|---|---|
| AA25880 | RI | PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Avatar Residential Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Avatar Residential Inc. has been assigned the NPI (National Provider Identifier) 1376660043. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Avatar Residential Inc. located?
The Avatar Residential Inc. is located at 15 Lillian Ln, Cranston, RI 29206200.
What is Avatar Residential Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Avatar Residential Inc.'s specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
When did the Avatar Residential Inc. receive its 1376660043?
The Avatar Residential Inc. was issued its 1376660043 on 2007-03-26, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Avatar Residential Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Avatar Residential Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.