NPIMap

Organization Active NPI

West Bay Residential Services Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Johnston, RI
National Provider Identifier
1487770780
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
License
215 Issued in RI
Legal business name
WEST BAY RESIDENTIAL SERVICES INC
Practice address
20 Lillian Rd
Johnston, RI 02919-4615
Phone
(401) 943-5485
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
John Dimarco
Title
Executive Director
Phone
(401) 738-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 215 RI Primary

Addresses

Primary practice location

20 Lillian Rd
Johnston, RI 02919-4615

Mailing address

158 Knight St
Warwick, RI 02886-1225
Phone (401) 738-9300

National Provider Directory

National Provider Directory
Tax ID family
West Bay Residential Services Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

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": "1487770780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 KNIGHT ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861225",
            "telephone_number": "401-738-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LILLIAN RD",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194615",
            "telephone_number": "401-943-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BAY RESIDENTIAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-738-9300"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "RI",
            "license": "215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, 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.