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Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hope Valley, RI

NPI 1295860369 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1295860369
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
36 (RI)
Legal business name
SPRING STREET GROUP HOME
Practice address
141 Spring St
Hope Valley, RI 02832-1630
Phone
(401) 539-2140
NPI assigned
Feb 22, 2007
Organization subpart
No

Authorized official

Name
Ms. Ellen R Nelson
Title
Director
Phone
(401) 462-6001

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
University of Rhode Island (65 organizations share this tax ID)

Locations

141 Spring St
Hope Valley, RI 02832
Phone (401) 539-2140

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 36 RI Yes

Addresses

Primary practice location

141 Spring St
Hope Valley, RI 02832-1630

Mailing address

6 Harrington Rd
Cranston, RI 02920-3080
Phone (401) 462-2659

Other identifiers

IdentifierTypeStateIssuer
SS06979MedicaidRI

Other providers in Hope Valley, RI

All providers in Hope Valley, RI · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rhode Island

Sources for this page

Verify at the official NPI Registry.