Active NPI
Community Living of Rhode Island
- Developmentally Disabled Services Day Training Agency
- Warwick, RI
National Provider Identifier
1053538041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 330
- Legal business name
- COMMUNITY LIVING OF RHODE ISLAND
- Practice address
- 349 Centerville Road BLDG 6
BLDG 6
Warwick, RI 02886 - Phone
- (401) 739-9006
- Fax
- (401) 739-6009
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph N Onyejose
- Title
- Executive Director
- Phone
- (401) 739-9006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 330 | RI | Primary |
Addresses
Primary practice location
349 Centerville Road BLDG 6
BLDG 6
Warwick, RI 02886
Mailing address
349 Centerville Road BLDG 6
BLDG 6
Warwick, RI 02886
Phone (401) 739-9006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL54941 | Medicaid | RI |
National Provider Directory
National Provider DirectoryLocations
349 Centerville Rd
Bldg 6
Warwick, RI 02886
Phone (401) 739-1515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310515200000",
"number": "1053538041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 CENTERVILLE ROAD BLDG 6",
"address_2": "BLDG 6",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-739-9006",
"fax_number": "401-739-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 CENTERVILLE ROAD BLDG 6",
"address_2": "BLDG 6",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-739-9006",
"fax_number": "401-739-6009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY LIVING OF RHODE ISLAND",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2011-07-13",
"status": "A",
"authorized_official_last_name": "ONYEJOSE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "401-739-9006",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "RI",
"license": "330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CL54941",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.