NPIMap

Organization Active NPI

Comprehensive Community Action, Inc.

Doing business as Family Health Services

  • Federally Qualified Health Center (FQHC)
  • Cranston, RI
National Provider Identifier
1366441719
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
1502 Issued in RI
Legal business name
COMPREHENSIVE COMMUNITY ACTION, INC.
Doing business as
Family Health Services
Practice address
1090 Cranston St
Cranston, RI 02920-7323
Phone
(401) 943-1981
Fax
(401) 943-2846
NPI assigned
Jul 19, 2005
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Mr. Justine Sands
Title
Cfo
Phone
(401) 562-2249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 1502 RI Primary

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 1

IdentifierTypeStateIssuer
9000471MedicaidRI

Other names 1

  • Family Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366441719. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
1090 Cranston St
Cranston, RI 29207323

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

191 MacArthur Blvd
Coventry, RI 02816
Phone (401) 828-5335

191 MacArthur Blvd
#2
Coventry, RI 02816

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marcia a Lopresti Individual Corporate OfficerBoard Member Jan 1, 2006 6.6%
Grace E Swinski Individual Corporate OfficerBoard Member Jan 1, 2005 6.6%
Cathleen Charest-Watson Individual Corporate OfficerBoard Member Jan 1, 2006 6.6%
John N Bucci Individual Corporate OfficerBoard Member Jan 1, 2001 6.6%
Robin M Gervais Individual Corporate OfficerBoard Member Jan 1, 2001 6.6%
Jason P Bouchard Individual Corporate OfficerBoard Member Jan 1, 2008 6.6%
Marybeth Corrente Individual Corporate OfficerBoard Member Jan 1, 1996 6.6%
Chris Mansfield Individual Corporate OfficerCeo Jan 1, 2025 100%
Marjorie C Barrett Individual Corporate OfficerBoard Member Jan 1, 2006 6.6%
Margaret M Long Individual Corporate OfficerBoard Member Jan 1, 2001 6.6%
Jeanine M Marrocco Individual Corporate OfficerBoard Member Jan 1, 2008 6.6%
Gina Eubank Individual W-2 Managing EmployeeAssistant Directo of Ambulatory and Jan 1, 2025 100%

Practitioners & affiliated clinicians

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1366441719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 DORIC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102903",
            "telephone_number": "401-461-0511",
            "fax_number": "401-467-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 CRANSTON ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207323",
            "telephone_number": "401-943-1981",
            "fax_number": "401-943-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COMMUNITY ACTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "SANDS",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-562-2249",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "RI",
            "license": "1502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000471",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.