NPIMap

Organization Active NPI

Cranston Arc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Cranston, RI
National Provider Identifier
1477684181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
30 Issued in RI
Legal business name
CRANSTON ARC
Practice address
25 Batcheller Ave
Cranston, RI 02920-5128
Phone
(401) 941-1112
Fax
(401) 941-2516
NPI assigned
Mar 7, 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
Pat Coppage
Title
Financial Director
Phone
(401) 941-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 30 RI Primary

Addresses

Primary practice location

25 Batcheller Ave
Cranston, RI 02920-5128

Mailing address

111 Comstock Pkwy
Cranston, RI 02921-2002
Phone (401) 941-1112

Other identifiers 1

IdentifierTypeStateIssuer
AC02800OtherRIEDS PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Cranston Arc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477684181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COMSTOCK PKWY",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029212002",
            "telephone_number": "401-941-1112",
            "fax_number": "401-941-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BATCHELLER AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205128",
            "telephone_number": "401-941-1112",
            "fax_number": "401-941-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANSTON ARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COPPAGE",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "401-941-1112"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "RI",
            "license": "30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS PROVIDER NUMBER",
            "identifier": "AC02800",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, 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.