Organization Active NPI

Refugee Development Center

Doing business as Refugee Dream Center

  • Community Health Worker
  • Providence, RI
National Provider Identifier
1053128785
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
REFUGEE DEVELOPMENT CENTER
Doing business as
Refugee Dream Center
Practice address
747 Broad St
Providence, RI 02907-1601
Phone
(401) 300-0544
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teddi Jallow
Title
Executive Director
Phone
(401) 300-0544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

747 Broad St
Providence, RI 02907-1601

Mailing address

747 Broad St
Providence, RI 02907-1601
Phone (401) 300-0544

Other names 1

  • Refugee Dream Center Doing business as

National Provider Directory

National Provider Directory

Locations

747 Broad St
Providence, RI 02907
Phone (401) 300-0544

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1053128785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071601",
            "telephone_number": "401-300-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071601",
            "telephone_number": "401-300-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUGEE DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "JALLOW",
        "authorized_official_first_name": "TEDDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-300-0544"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refugee Dream Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.