Organization Active NPI

The Arc of Blackstone Valley

  • Intellectual Disabilities Intermediate Care Facility
  • Riverside, RI
National Provider Identifier
1447375985
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
22 Issued in RI
Legal business name
THE ARC OF BLACKSTONE VALLEY
Practice address
109 Earl Ave
Riverside, RI 02915-3205
Phone
(401) 727-0150
Fax
(401) 727-1545
NPI assigned
Mar 21, 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
Katherine S Hunt
Title
Chief Operating Officer
Phone
(401) 727-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 22 RI Primary

Addresses

Primary practice location

109 Earl Ave
Riverside, RI 02915-3205

Mailing address

115 Manton St
Pawtucket, RI 02861-4332
Phone (401) 727-0150

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Blackstone Valley14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447375985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MANTON ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614332",
            "telephone_number": "401-727-0150",
            "fax_number": "401-727-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 EARL AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029153205",
            "telephone_number": "401-727-0150",
            "fax_number": "401-727-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF BLACKSTONE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "401-727-0150"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "RI",
            "license": "22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, 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.