NPIMap

Organization Active NPI

J.Arthur Trudeau Memorial Center Conversion Waivers

  • Developmentally Disabled Services Day Training Agency
  • Warwick, RI
National Provider Identifier
1164549317
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
J.ARTHUR TRUDEAU MEMORIAL CENTER CONVERSION WAIVERS
Practice address
3445 Post Rd
Warwick, RI 02886-7147
Phone
(401) 739-2700
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Bob Teolis
Title
Director of Finance
Phone
(401) 739-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

3445 Post Rd
Warwick, RI 02886-7147

Mailing address

3445 Post Rd
Warwick, RI 02886-7147

Other identifiers 1

IdentifierTypeStateIssuer
KC54347MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
J Arthur Trudeau Memorial Center18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1164549317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867147",
            "telephone_number": "401-739-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.ARTHUR TRUDEAU MEMORIAL CENTER CONVERSION WAIVERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "TEOLIS",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "401-739-2700"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KC54347",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.