St. Mary'S Home For Children in North Providence - Residential Treatment Facility, Emotionally Disturbed Children
St. Mary'S Home For Children - NPI 1770698011
St. Mary'S Home For Children is a Residential Treatment Facility, Emotionally Disturbed Children in North Providence, Rhode Island. St. Mary'S Home For Children practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for St. Mary'S Home For Children is 1770698011. The last update date is 2008-04-04.
St. Mary'S Home For Children's current location address is 420 Fruit Hill Ave, North Providence, Rhode Island. You can contact this provider via phone number 4013533900 and fax number 4013547986. The mailing address for St. Mary'S Home For Children is 420 Fruit Hill Ave, North Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Mary'S Home For Children |
|---|---|
| Address | 420 Fruit Hill Ave, North Providence, Rhode Island |
| Phone Number | 4013533900 |
| Fax Number | 4013547986 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Smith J. Bernard |
| Credentials | MSW |
| Telephone Number | 4013533900 |
NPI Number Detail
| NPI Number | 1770698011 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2008-04-04 |
Provider Mailing Address Detail
| Address | 420 Fruit Hill Ave |
|---|---|
| City | North Providence |
| State | Rhode Island (RI) |
| Post Code | 29112626 |
| Phone Number | 4013533900 |
| Fax Number | 4013547986 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| SM02342 | RI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to St. Mary'S Home For Children by the Centers for Medicare & Medicaid Services?
The St. Mary'S Home For Children has been issued the NPI (National Provider Identifier) 1770698011, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where St. Mary'S Home For Children's facilities are situated?
The facilities of St. Mary'S Home For Children are physically located at the following address: 420 Fruit Hill Ave, North Providence, RI, 29112626.
What is the St. Mary'S Home For Children's specialty and taxonomy code?
The St. Mary'S Home For Children's specialty is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code is 322D00000X.
On what date did St. Mary'S Home For Children receive its 1770698011 assignment from the Centers for Medicare & Medicaid Services?
The St. Mary'S Home For Children was assigned its 1770698011 on 2006-08-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to St. Mary'S Home For Children most recently updated or revised?
The information pertaining to St. Mary'S Home For Children, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-04.