NPIMap

Organization Active NPI

State of Rhode Island and Providence Plantations

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • North Smithfield, RI
National Provider Identifier
1164567202
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
321
Legal business name
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
Practice address
80 Mowry Avenue
North Smithfield, RI 02896-7110
Phone
(401) 769-6681
NPI assigned
Feb 20, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Jennifer Rae White
Title
Deputy Cfo
Phone
(401) 462-1343

National Provider Directory

National Provider Directory
Tax ID family
University of Rhode Island65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 321 Primary

Addresses

NPPES NPI Registry

Primary practice location

80 Mowry Avenue
North Smithfield, RI 02896-7110

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
LC01616MedicaidRI

Other names 1

NPPES NPI Registry
  • Mowry Group Home Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2019.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1164567202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HARRINGTON RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203080",
            "telephone_number": "401-462-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MOWRY AVENUE",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967110",
            "telephone_number": "401-769-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DEPUTY CFO",
        "authorized_official_telephone_number": "401-462-1343",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": "321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LC01616",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mowry Group Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mowry Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.