NPIMap

Organization Active NPI

United Cerebral Palsy of Rhode Island, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Pawtucket, RI
National Provider Identifier
1306978705
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
244 Issued in RI
Legal business name
UNITED CEREBRAL PALSY OF RHODE ISLAND, INC.
Practice address
200 Main St
Suite 210
Pawtucket, RI 02860-4119
Phone
(401) 728-1800
Fax
(401) 728-0182
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Karl P Provost
Title
Director of Finance, Cfo
Phone
(401) 728-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 244 RI Primary

Addresses

Primary practice location

200 Main St
Suite 210
Pawtucket, RI 02860-4119

Mailing address

200 Main St
Suite 210
Pawtucket, RI 02860-4119
Phone (401) 728-1800

Other identifiers 1

IdentifierTypeStateIssuer
UC27792OtherRIREH OPTION FUNDING

National Provider Directory

National Provider Directory
Tax ID family
United Cerebral Palsy of Rhode Island7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306978705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "address_2": "SUITE 210",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604119",
            "telephone_number": "401-728-1800",
            "fax_number": "401-728-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "address_2": "SUITE 210",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604119",
            "telephone_number": "401-728-1800",
            "fax_number": "401-728-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF RHODE ISLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROVOST",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE, CFO",
        "authorized_official_telephone_number": "401-728-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "RI",
            "license": "244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REH OPTION FUNDING",
            "identifier": "UC27792",
            "state": "RI"
        }
    ],
    "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 Aug 22, 2020; 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.