NPIMap

Organization Active NPI

Spurwink Ri - Plainfield Pike

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cpu Summit General Store, RI
National Provider Identifier
1467574624
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SPURWINK RI - PLAINFIELD PIKE
Practice address
1150 Plainfield Pike
Cpu Summit General Store, RI 02827-1904
Phone
(401) 385-9595
NPI assigned
Apr 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Raymond ArsenaultNPI 1902854177
Title
Executive Director
Phone
(401) 781-4380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

1150 Plainfield Pike
Cpu Summit General Store, RI 02827-1904

Mailing address

1 Spurwink PL
Cranston, RI 02910-2012
Phone (401) 781-4380

Other identifiers 2

IdentifierTypeStateIssuer
166OtherRIMHRH-DDD
L-9145MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
Spurwink Ri - Crompton Road6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1 Spurwink Pl
Cranston, RI 02910
Phone (401) 781-4380

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467574624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SPURWINK PL",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102012",
            "telephone_number": "401-781-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PLAINFIELD PIKE",
            "city": "CPU SUMMIT GENERAL STORE",
            "state": "RI",
            "postal_code": "028271904",
            "telephone_number": "401-385-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPURWINK RI - PLAINFIELD PIKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARSENAULT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-781-4380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHRH-DDD",
            "identifier": "166",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L-9145",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cpu Summit General Store, 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.