Organization Active NPI

Refocus Inc Fiscal Agent

  • Developmentally Disabled Services Day Training Agency
  • Providence, RI
National Provider Identifier
1558935932
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
REFOCUS INC FISCAL AGENT
Practice address
45 Greeley St
Providence, RI 02904-2214
Phone
(401) 272-1600
NPI assigned
May 19, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
REFOCUS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Christine M Kavanagh
Title
Executive Director
Phone
(401) 272-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

45 Greeley St
Providence, RI 02904-2214

Mailing address

45 Greeley Street
Providence, RI 02904-2214
Phone (401) 272-1600

National Provider Directory

National Provider Directory
Part of
Re-Focus Inc

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1558935932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 GREELEY STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042214",
            "telephone_number": "401-272-1600",
            "fax_number": "401-751-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 GREELEY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042214",
            "telephone_number": "401-272-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFOCUS INC FISCAL AGENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REFOCUS, INC",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "KAVANAGH",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-272-1600"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.