NPIMap

Organization Active NPI

Tri-Town Economic Opportunity

  • Community/Behavioral Health Agency
  • Johnston, RI
National Provider Identifier
1053514935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
619 Issued in RI
Legal business name
TRI-TOWN ECONOMIC OPPORTUNITY
Practice address
1126 Hartford Ave
Johnston, RI 02919-7130
Phone
(401) 351-2750
Fax
(401) 351-6613
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph R Desantis
Title
Executive Director
Phone
(401) 351-2750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 619 RI Primary

Addresses

Primary practice location

1126 Hartford Ave
Johnston, RI 02919-7130

Mailing address

1126 Hartford Ave
Johnston, RI 02919-7130
Phone (401) 351-2750

Other identifiers 1

IdentifierTypeStateIssuer
TT37326MedicaidRI

Other names 1

  • Tri-Town Substance Abuse Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tri-Town Economic Opportunity Council16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053514935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197130",
            "telephone_number": "401-351-2750",
            "fax_number": "401-351-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197130",
            "telephone_number": "401-351-2750",
            "fax_number": "401-351-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-TOWN ECONOMIC OPPORTUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-351-2750"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": "619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TT37326",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Town Substance Abuse Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.