NPIMap

Organization Active NPI

Rhode Island Community Living and Supports (Riclas)

Doing business as 45 Lakehurst Drive Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Coventry, RI
National Provider Identifier
1124738281
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
RHODE ISLAND COMMUNITY LIVING AND SUPPORTS (RICLAS)
Doing business as
45 Lakehurst Drive Group Home
Practice address
45 Lakehurst Drive
Coventry, RI 02816
Phone
(401) 462-5332
Fax
(401) 462-2804
NPI assigned
Nov 30, 2022
Last updated
Nov 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
RHODE ISLAND COMMUNITY LIVING AND SUPPORTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Richard R Charest
Title
Director
Phone
(401) 462-0917

Specialties & licenses 1

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

Addresses

Primary practice location

45 Lakehurst Drive
Coventry, RI 02816

Mailing address

6 Harrington Road
Cranston, RI 02920
Phone (401) 462-5332

Other names 1

  • 45 Lakehurst Drive Group Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spring Street Group Home65 organizations share this tax ID, including this one
Part of
Spring Street Group Home

Organizations with this tax ID in the same state 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1124738281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HARRINGTON ROAD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02920",
            "telephone_number": "401-462-5332",
            "fax_number": "401-462-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LAKEHURST DRIVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "02816",
            "telephone_number": "401-462-5332",
            "fax_number": "401-462-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODE ISLAND COMMUNITY LIVING AND SUPPORTS (RICLAS)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RHODE ISLAND COMMUNITY LIVING AND SUPPORTS",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "CHAREST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-462-0917"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "45 Lakehurst Drive Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coventry, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.