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Simmons Village Apartments

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

NPI 1376678433 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1376678433
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
79 (RI)
Legal business name
SIMMONS VILLAGE APARTMENTS
Practice address
343 Simmonsville Ave
Johnston, RI 02919-6058
Phone
(401) 942-2106
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)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 79 RI Yes

Addresses

Primary practice location

343 Simmonsville Ave
Johnston, RI 02919-6058

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
LC03489MedicaidRI

Other providers in Johnston, RI

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

Sources for this page

Verify at the official NPI Registry.