Blackstone Health, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

13 Issued in RI

Legal business name

BLACKSTONE HEALTH, INC

Doing business as

New Horizons Adult Day Center

Practice address

426 Main St
Pawtucket, RI 02860-2912

Phone

(401) 727-0950

Fax

(401) 725-3053

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Gough

Title

Executive Director

Phone

(401) 727-0950

Specialties & licenses 1

Addresses

Other names 1

• New Horizons Adult Day Center Doing business as

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467583534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602912",
            "telephone_number": "401-727-0950",
            "fax_number": "401-725-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602912",
            "telephone_number": "401-727-0950",
            "fax_number": "401-725-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOUGH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-727-0950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "RI",
            "license": "13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Adult Day Care Clinic/Center in Rhode Island

• 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.