Organization Active NPI

Whitmarsh Corporation

  • Developmentally Disabled Services Day Training Agency
  • Providence, RI
National Provider Identifier
1578859179
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
404 Issued in RI
Legal business name
WHITMARSH CORPORATION
Practice address
1055 N Main St
Providence, RI 02904-5718
Phone
(401) 351-7230
Fax
(401) 421-0198
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Robert M Larocco, LMFTNPI 1588949903
Title
Ceo
Phone
(401) 351-7230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X 404 RI Primary
Community/Behavioral Health Agency 251S00000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X

Addresses

Primary practice location

1055 N Main St
Providence, RI 02904-5718

Mailing address

1055 N Main St
Providence, RI 02904-5718
Phone (401) 351-7230

Other identifiers 1

IdentifierTypeStateIssuer
WC70315OtherRIMEDICAID PROVIDER ID

Other names 1

  • Whitmarsh House Other name

National Provider Directory

National Provider Directory

Locations

1055 N Main St
Providence, RI 02904
Phone (401) 351-7230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1578859179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045718",
            "telephone_number": "401-351-7230",
            "fax_number": "401-421-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045718",
            "telephone_number": "401-351-7230",
            "fax_number": "401-421-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITMARSH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "LAROCCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-351-7230",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "RI",
            "license": "404",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER ID",
            "identifier": "WC70315",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitmarsh House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 6, 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.