NPIMap

Organization Active NPI

Galilee Mission

  • Substance Abuse Rehabilitation Facility
  • Narragansett, RI
National Provider Identifier
1639638331
Registry record updated Aug 22, 2022
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Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GALILEE MISSION
Practice address
268 Kingstown Rd
Narragansett, RI 02882-3237
Phone
(401) 789-9390
Fax
(401) 783-8155
NPI assigned
Mar 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Mrs. Lynn Elaine Serra
Title
Executive Director
Phone
(401) 789-9390

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

268 Kingstown Rd
Narragansett, RI 02882-3237

Mailing address

1220 Kingstown Rd
South Kingstown, RI 02879-7909
Phone (401) 789-9390

Other practice location 1

23 Arnold St
South Kingstown, RI 02879-3701
Phone (401) 789-9390 ext. 105

National Provider Directory

National Provider Directory
Tax ID family
Galilee Mission2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

268 Kingstown Rd
Narragansett, RI 02882
Phone 4017899390 ext. 105

23 Arnold St
Wakefield, RI 02879
Phone 4017899390 ext. 105

1220 Kingstown Rd
Wakefield, RI 02879
Phone (401) 789-9390

Practitioners & affiliated clinicians

Practitioners 10

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": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1639638331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 KINGSTOWN RD",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028797909",
            "telephone_number": "401-789-9390",
            "fax_number": "401-789-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 KINGSTOWN RD",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823237",
            "telephone_number": "401-789-9390",
            "fax_number": "401-783-8155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Arnold St",
            "address_purpose": "LOCATION",
            "city": "South Kingstown",
            "state": "RI",
            "postal_code": "028793701",
            "country_code": "US",
            "telephone_number": "401-789-9390 x105",
            "fax_number": "401-789-3454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GALILEE MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "SERRA",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-789-9390",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narragansett, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.