Manchester Manor, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALR01315 Issued in RI

Legal business name

MANCHESTER MANOR, INC.

Practice address

12 Manchester St
Pawtucket, RI 02860-2016

Phone

(401) 725-8390

Fax

(401) 725-1359

NPI assigned

Aug 14, 2008

Last updated

Aug 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frances Maureen Goulet

Title

Owner/Adminstrator

Phone

(401) 725-8390

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1215183884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MANCHESTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602016",
            "telephone_number": "401-725-8390",
            "fax_number": "401-725-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MANCHESTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602016",
            "telephone_number": "401-725-8390",
            "fax_number": "401-725-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "GOULET",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER/ADMINSTRATOR",
        "authorized_official_telephone_number": "401-725-8390"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "ALR01315",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "RI",
            "license": "ALR01315",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "RI",
            "license": "ALR01315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Malave-Roman
• Danielle Malo
• Gina Marie Maloney, CCHW 200894
• Mama Dove Doula LLC
• Artemio M Manansala, MD
• Melvin J Mancini, D.P.M.
• Megan Mangel
• Sharon Manion
• Fadi Mansourati, MD
• Vanessa Marcial, MA

• Assisted Living Facility in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Assisted Living Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.