Cranston Arc
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cranston, RI
NPI 1124159744 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124159744
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- 30 (RI)
- Legal business name
- CRANSTON ARC
- Practice address
- 27 Wildflower Dr
Cranston, RI 02921-2326 - Phone
- (401) 941-1112
- Fax
- (401) 941-2516
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Pat Coppage
- Title
- Financial Director
- Phone
- (401) 941-1112
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Cranston Arc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 30 | RI | Yes |
Addresses
Primary practice location
27 Wildflower Dr
Cranston, RI 02921-2326
Mailing address
111 Comstock Pkwy
Cranston, RI 02921-2002
Phone (401) 941-1112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC02756 | Other | RI | EDS PROVIDER NUMBER |
Other providers in Cranston, RI
- Dawn Ann Cousineau
- Deirdre Odelia Couture
- Cra-Mar Corporation
- Lori A Cragan
- Michelle D Crandall
- Cranston Arc
- Cranston Arc
- Cranston Arc
- Cranston Arc
- Cranston Arc
All providers in Cranston, RI · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.