Organization Active NPI

The Arc of Balckstone Valley

  • Developmentally Disabled Services Day Training Agency
  • Pawtucket, RI
National Provider Identifier
1295021426
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
38 Issued in RI
Legal business name
THE ARC OF BALCKSTONE VALLEY
Practice address
115 Manton St
Pawtucket, RI 02861-4332
Phone
(401) 727-0150
Fax
(401) 727-1545
NPI assigned
Jun 27, 2011
Last updated
Jun 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Miss Catherine A Gilligan
Title
Cfo
Phone
(401) 727-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 38 RI Primary

Addresses

Primary practice location

115 Manton St
Pawtucket, RI 02861-4332

Mailing address

115 Manton St
Pawtucket, RI 02861-4332
Phone (401) 727-0150

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Blackstone Valley14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1295021426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MANTON ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614332",
            "telephone_number": "401-727-0150",
            "fax_number": "401-727-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MANTON ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614332",
            "telephone_number": "401-727-0150",
            "fax_number": "401-727-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF BALCKSTONE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "GILLIGAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-727-0150",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "RI",
            "license": "38",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.