NPIMap

Organization Active NPI

The Arc of Bristol County Dba Proability

  • In Home Supportive Care Agency
  • Smithfield, RI
National Provider Identifier
1154787869
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
ISW02342 Issued in RI
Legal business name
THE ARC OF BRISTOL COUNTY DBA PROABILITY
Practice address
25 Thurber Blvd
Unit 2
Smithfield, RI 02917-1816
Phone
(401) 233-1634
NPI assigned
Jan 11, 2016
Last updated
Jan 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Xong Yang
Title
Clinician
Phone
(401) 233-1634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X ISW02342 RI Primary

Addresses

Primary practice location

25 Thurber Blvd
Unit 2
Smithfield, RI 02917-1816

Mailing address

25 Thurber Blvd
Unit 2
Smithfield, RI 02917-1816

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D2212390Arc of Bristol County, the25 Thurber Blvd, Smithfield, RI 02917Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Bristol County Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

25 Thurber Blvd
Unit 2
Smithfield, RI 02917
Phone (401) 233-1634

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1154787869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 THURBER BLVD",
            "address_2": "UNIT 2",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 THURBER BLVD",
            "address_2": "UNIT 2",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171816",
            "telephone_number": "401-233-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF BRISTOL COUNTY DBA PROABILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "XONG",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "401-233-1634"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "RI",
            "license": "ISW02342",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.