Pace Organization of Rhode Island

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

19 Issued in RI

Legal business name

PACE ORGANIZATION OF RHODE ISLAND

Practice address

10 Tripps Lane
Riverside, RI 02915

Phone

(401) 654-4789

Fax

(401) 654-4660

NPI assigned

Dec 21, 2005

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig McAnaugh

Title

Cfo

Phone

(401) 434-1400

Specialties & licenses 3

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1083690044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TRIPPS LANE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "02915",
            "telephone_number": "401-654-4789",
            "fax_number": "401-654-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TRIPPS LANE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "02915",
            "telephone_number": "401-654-4789",
            "fax_number": "401-654-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE ORGANIZATION OF RHODE ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "MCANAUGH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-434-1400"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "RI",
            "license": "19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACE DHS CONTRACT #",
            "identifier": "H4105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Olszewski, CRNA
• Opco Ri East Providence-1440 Wampanoag LLC (Anchor Bay East Providence)
• Nicole M Orellana
• Luis A Osorio, MD
• George Otoole, LCDP
• Angelina Papaioannou, NP
• Danielle Parent
• Diana Paris, APRN
• Andrea Jean Pariseau
• Michelle Parker, MD

• Exclusive Provider Organization in Riverside, RI
• Providers in Riverside, RI by specialty
• Exclusive Provider Organization in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.