Organization Active NPI

Behavecare Ri Ipa Administration, LLC

  • Case Management Agency
  • Providence, RI
National Provider Identifier
1164981825
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BEHAVECARE RI IPA ADMINISTRATION, LLC
Practice address
188 Valley St Ste 201
Providence, RI 02909-2468
Phone
(888) 985-5455
Fax
(877) 985-7622
NPI assigned
Mar 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Dina Mandeville
Title
VP Finance & Accounting
Phone
(888) 985-5455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

188 Valley St Ste 201
Providence, RI 02909-2468

Mailing address

188 Valley St Ste 201
Box 2
Providence, RI 02909-2468
Phone (888) 985-5455

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1164981825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 VALLEY ST STE 201",
            "address_2": "BOX 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029092468",
            "telephone_number": "888-985-5455",
            "fax_number": "877-985-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 VALLEY ST STE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029092468",
            "telephone_number": "888-985-5455",
            "fax_number": "877-985-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVECARE RI IPA ADMINISTRATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "MANDEVILLE",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "VP FINANCE & ACCOUNTING",
        "authorized_official_telephone_number": "888-985-5455"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.