NPIMap

Organization Active NPI

Stonehenge Road Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kingston, RI
National Provider Identifier
1093840175
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
311 Issued in RI
Legal business name
STONEHENGE ROAD GROUP HOME
Practice address
100 Stonehenge Rd
Kingston, RI 02881-1813
Phone
(401) 789-5870
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Ellen R Nelson
Title
Director
Phone
(401) 462-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 311 RI Primary

Addresses

Primary practice location

100 Stonehenge Rd
Kingston, RI 02881-1813

Mailing address

6 Harrington Rd
Cranston, RI 02920-3080
Phone (401) 462-2659

Other identifiers 1

IdentifierTypeStateIssuer
LC02455MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
Refern Grove Apartments65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093840175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HARRINGTON RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203080",
            "telephone_number": "401-462-2659",
            "fax_number": "401-462-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONEHENGE RD",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028811813",
            "telephone_number": "401-789-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHENGE ROAD GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-462-6001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "RI",
            "license": "311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LC02455",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, 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.