Organization Active NPI

Kingston Hill Academy,Inc

  • Local Education Agency (LEA)
  • Saunderstown, RI
National Provider Identifier
1083796288
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
KINGSTON HILL ACADEMY,INC
Practice address
850 Stony Fort Rd
Saunderstown, RI 02874-1003
Phone
(401) 274-6310
Fax
(401) 421-1077
NPI assigned
Oct 19, 2006
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Ms. Marcella Terranova Clark
Title
Chief Administrator
Phone
(401) 783-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

850 Stony Fort Rd
Saunderstown, RI 02874-1003

Mailing address

610 Manton Ave
Providence, RI 02909-5633
Phone (401) 274-6310

Other identifiers 1

IdentifierTypeStateIssuer
KH43674MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
Kingston Hill Academyinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

850 Stony Fort Rd
Saunderstown, RI 02874
Phone (401) 783-8282

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1083796288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MANTON AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095633",
            "telephone_number": "401-274-6310",
            "fax_number": "401-421-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 STONY FORT RD",
            "city": "SAUNDERSTOWN",
            "state": "RI",
            "postal_code": "028741003",
            "telephone_number": "401-274-6310",
            "fax_number": "401-421-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON HILL ACADEMY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "TERRANOVA CLARK",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "401-783-8282",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KH43674",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saunderstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.