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Riverside House Apartments

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Riverside, RI

NPI 1487789541 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1487789541
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
169 (RI)
Legal business name
RIVERSIDE HOUSE APARTMENTS
Practice address
1061 Willett Ave
Riverside, RI 02915-2055
Phone
(401) 437-0168
NPI assigned
Feb 22, 2007
Organization subpart
No

Authorized official

Name
Ms. Ellen R Nelson
Title
Director
Phone
(401) 462-6001

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
University of Rhode Island (65 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 169 RI Yes

Addresses

Primary practice location

1061 Willett Ave
Riverside, RI 02915-2055

Mailing address

6 Harrington Rd
Cranston, RI 02920-3080
Phone (401) 462-2659

Other identifiers

IdentifierTypeStateIssuer
LC01915MedicaidRI

Other providers in Riverside, RI

All providers in Riverside, RI · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rhode Island

Sources for this page

Verify at the official NPI Registry.