Moonstone Beach Rd Group Home

Key facts

NPI: 1154466522
Entity type: Organization (NPI type 2)
Primary specialty: Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License: 26 (RI)
Legal business name: MOONSTONE BEACH RD GROUP HOME
Practice address: 446 Moonstone Beach Rd
Wakefield, RI 02879-5110
Phone: (401) 782-8480
NPI assigned: Feb 21, 2007
Organization subpart: No

Authorized official

Name: Ms. Ellen R Nelson
Title: Director
Phone: (401) 462-6001

Corporate family (same tax ID) 24

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

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Smithfield Commons Apartments Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Greenville, RI · NPI 1174658231

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South County Trail Group Home Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Charlestown, RI · NPI 1245365311

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Spring Street Group Home Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hope Valley, RI · NPI 1295860369

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State of Rhode Island Clinical Medical Laboratory · Providence, RI · NPI 1174690887

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State of Rhode Island Student Health Clinic/Center · Kingston, RI · NPI 1245455724

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State of Rhode Island and Providence Plantations Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pascoag, RI · NPI 1104961242

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Stonehenge Road Group Home Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Kingston, RI · NPI 1093840175

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Veterans Place Group Home Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Exeter, RI · NPI 1063547651

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National Provider Directory

Tax ID family: University of Rhode Island (65 organizations share this tax ID)

Locations

446 Moonstone Beach Rd
Wakefield, RI 02879
Phone (401) 782-8480

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	26	RI	Yes

Addresses

Primary practice location

446 Moonstone Beach Rd
Wakefield, RI 02879-5110

Mailing address

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

Other identifiers

Identifier	Type	State	Issuer
MB04412	Medicaid	RI

Other providers in Wakefield, RI

Rick Moffitt, PA
Crystal Moio
Gretchen Lily Montie
Mary Louise Montminy-Danna, MSW, LICSW, PHD
Lindsay Mook, AGAC-NP -BC
Leslie Morales Oliver
Patricia J Moreau, RN
Jill Moretti, PCNS
Victoria Kay Moretti, RPH
John Edward Morgan, PHARM.D.

All providers in Wakefield, RI · Intellectual and/or Developmental Disabilities Community Based 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.

Verify at the official NPI Registry.