Organization Active NPI

Care Center Rhode Island LLC

  • Addiction Medicine (Family Medicine) Physician
  • East Providence, RI
National Provider Identifier
1225549298
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
RI06534 Issued in RI
Legal business name
CARE CENTER RHODE ISLAND LLC
Practice address
400 Warren Ave
East Providence, RI 02914
Phone
(401) 431-9024
Fax
(401) 431-9027
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Lisa Rossi
Title
Office Manager
Phone
(401) 431-9024

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X RI06534 RI Primary
Clinic/Center 261Q00000X RI06534 RI
Health Service Clinic/Center 261QH0100X RI06534 RI
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X RI06534 RI

Addresses

Primary practice location

400 Warren Ave
East Providence, RI 02914

Mailing address

400 Warren Ave
East Providence, RI 02914-3826
Phone (401) 431-9024

Other identifiers 1

IdentifierTypeStateIssuer
7007002MedicaidRI

National Provider Directory

National Provider Directory

Locations

400 Warren Ave
East Providence, RI 02914
Phone (401) 431-1800

300 Toll Gate Rd
Ste LL5
Warwick, RI 02886
Phone (401) 431-9024

642 East Ave
Warwick, RI 02886
Phone (401) 431-9024

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1225549298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WARREN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143826",
            "telephone_number": "401-431-9024",
            "fax_number": "401-431-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WARREN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "02914",
            "telephone_number": "401-431-9024",
            "fax_number": "401-431-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CENTER RHODE ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-431-9024"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "RI",
            "license": "RI06534",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "RI",
            "license": "RI06534",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "RI",
            "license": "RI06534",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "RI",
            "license": "RI06534",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7007002",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.