Charles Street Community Center

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CHARLES STREET COMMUNITY CENTER

Practice address

663 Charles St
Providence, RI 02904-1350

Phone

(401) 272-3252

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Mario Mancebo, M.A.

Title

Director

Phone

(401) 272-3252

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1295108744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 CHARLES ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041350",
            "telephone_number": "401-272-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 CHARLES ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041350",
            "telephone_number": "401-272-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES STREET COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "MANCEBO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-272-3252",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Chapman
• Laura Lynn Chapman, MD
• Sofia Chapman, MD
• Raymond F. Chaquette, M.D.
• Camille Christina Charbonneau, PHARM.D.
• Amos Charles
• Cathy Maria Charles, MD, MPH
• Machel Charles, PA
• Nerssie Charles
• Charlesgate Nursing Center

• Local Education Agency (LEA) in Providence, RI
• Providers in Providence, RI by specialty
• Local Education Agency (LEA) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.