Organization Active NPI

Community Living of Rhode Island

  • Developmentally Disabled Services Day Training Agency
  • Warwick, RI
National Provider Identifier
1053538041
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
330 Issued in RI
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

Updated by the provider on Jul 13, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CL54941MedicaidRI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.