Comprehensive Community Action, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Cranston, RI
NPI 1366441719 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1366441719
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 1502 (RI)
- Legal business name
- COMPREHENSIVE COMMUNITY ACTION, INC.
- Practice address
- 1090 Cranston St
Cranston, RI 02920-7323 - Phone
- (401) 943-1981
- Fax
- (401) 943-2846
- NPI assigned
- Jul 19, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Justine Sands
- Title
- Cfo
- Phone
- (401) 562-2249
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 4
Practitioners 65
-
Shawna Bell, LMHC
-
Donna M. Deangelis, LICSW
-
Iehsus S Flores-Perez, M.D.
-
Aileen Marie Gonzalez, DNP, PMHNP-BC
-
Christopher Hicks, PMHNP
-
Atsuko Hirae, NP
-
Elena M Kwetkowski, D.O.
-
Julie Ann Lemaire, FNP
-
Moira L Long, DNP, MSN, FNP-C
-
Crystal L Martinez, MSW
-
Suzanne Marie Raposa, LICSW, MSW
-
Sandra Salamanca, PHYSICIAN ASSISTANT
-
Kristen A Stewart, R.N.P.
-
Kimberly M. Stokinger, PA-C
-
Arthur Ronald Taylor, CAPRN
-
Diego A. Tecun, NP
-
Ketia Turenne, RN
-
Danielle Crowell, APRN
-
Megan Lynn Vebber, PA-C
-
Jason David Villa, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in RI
Federally qualified health center certification: CCN 411810
- Legal name
- COMPREHENSIVE COMMUNITY ACTION, INC.
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- May 1, 1996
- Last certification
- May 1, 1996
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1090 Cranston St
Cranston, RI 29207323
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Marcia a Lopresti |
Corporate Officer |
Jan 1, 2006 | 6.6% |
| Grace E Swinski |
Corporate Officer |
Jan 1, 2005 | 6.6% |
| Cathleen Charest-Watson |
Corporate Officer |
Jan 1, 2006 | 6.6% |
| John N Bucci |
Corporate Officer |
Jan 1, 2001 | 6.6% |
| Robin M Gervais |
Corporate Officer |
Jan 1, 2001 | 6.6% |
| Jason P Bouchard |
Corporate Officer |
Jan 1, 2008 | 6.6% |
| Marybeth Corrente |
Corporate Officer |
Jan 1, 1996 | 6.6% |
| Chris Mansfield |
Corporate Officer |
Jan 1, 2025 | 100% |
| Marjorie C Barrett |
Corporate Officer |
Jan 1, 2006 | 6.6% |
| Margaret M Long |
Corporate Officer |
Jan 1, 2001 | 6.6% |
| Jeanine M Marrocco |
Corporate Officer |
Jan 1, 2008 | 6.6% |
| Gina Eubank |
W-2 Managing Employee |
Jan 1, 2025 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040312000668 | RI | Part B Supplier - Clinic/Group Practice | 0749176055 |
Receives reassigned benefits from 55 practitioners 1 other NPI on this enrollment Practice locations: Cranston, RI |
| O20050426000297 | RI | Part a Provider - Federally Qualified Health Center (FQHC) | 0749176055 | Practice locations: Cranston, RI |
National Provider Directory
Locations
191 MacArthur Blvd
#2
Coventry, RI 02816
1090 Cranston St
Cranston, RI 02920
Phone (401) 467-9610
2756 Post Rd
Ste 103
Warwick, RI 02886
Phone (401) 384-6007
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 1502 | RI | Yes |
Addresses
Primary practice location
1090 Cranston St
Cranston, RI 02920-7323
Mailing address
311 Doric Ave
Cranston, RI 02910-2903
Phone (401) 461-0511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000471 | Medicaid | RI |
Other names
- Family Health Services
Other providers in Cranston, RI
- Gianna Comparone
- Comprehensive Community Action, Inc
- Comprehensive Community Action, Inc
- Comprehensive Community Action, Inc
- Comprehensive Community Action, Inc
- Comprehensive Home Medical Equipment Inc
- Comprehensive OB/GYN Care, Inc
- John Concannon
- Concord Health Services, Inc
- Concord Physical Therapy Inc.
All providers in Cranston, RI · Federally Qualified Health Center (FQHC) in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.