NPIMap

Organization Active NPI

Groden Center, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Smithfield, RI
National Provider Identifier
1104975408
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
45412 Issued in RI
Legal business name
GRODEN CENTER, INC.
Practice address
73 Branch Pike
Smithfield, RI 02917-1211
Phone
(401) 274-6310
Fax
(401) 421-1077
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Grace Toe
Title
Cfo
Phone
(401) 274-6310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 45412 RI Primary

Addresses

Primary practice location

73 Branch Pike
Smithfield, RI 02917-1211

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
GC 02866MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
The Groden Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1104975408",
    "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": "73 BRANCH PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171211",
            "telephone_number": "401-274-6310",
            "fax_number": "401-421-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRODEN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "TOE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-274-6310"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "RI",
            "license": "45412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GC 02866",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.