NPIMap

Organization Active NPI

Ocean State Community Resources, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pawtucket, RI
National Provider Identifier
1124146238
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
159 Issued in RI
Legal business name
OCEAN STATE COMMUNITY RESOURCES, INC.
Practice address
150 Dartmouth St
Pawtucket, RI 02860-5972
Phone
(401) 725-6431
NPI assigned
Mar 27, 2007
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
Mr. David C Reiss
Title
Executive Director
Phone
(401) 245-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 159 RI Primary

Addresses

Primary practice location

150 Dartmouth St
Pawtucket, RI 02860-5972

Mailing address

310 Maple Ave
Suite 102
Barrington, RI 02806-3430
Phone (401) 245-7900

Other identifiers 1

IdentifierTypeStateIssuer
OC02258OtherRIPROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Ocean State Community Resources Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124146238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MAPLE AVE",
            "address_2": "SUITE 102",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063430",
            "telephone_number": "401-245-7900",
            "fax_number": "401-245-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DARTMOUTH ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605972",
            "telephone_number": "401-725-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE COMMUNITY RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REISS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-245-7900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "RI",
            "license": "159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "OC02258",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, 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.