Organization Active NPI

Gotham Per Diem, Inc.

  • Nursing Care Agency
  • Providence, RI
National Provider Identifier
1649206293
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
RI 02268 Issued in RI
Legal business name
GOTHAM PER DIEM, INC.
Practice address
304 Pearl St
Suite 100
Providence, RI 02907-2215
Phone
(401) 351-1818
Fax
(401) 351-1854
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Ms. Caroline M. Barrett
Title
President
Phone
(212) 228-1994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X RI 02268 RI Primary

Addresses

Primary practice location

304 Pearl St
Suite 100
Providence, RI 02907-2215

Mailing address

304 Pearl St
Suite 100
Providence, RI 02907-2215
Phone (401) 351-1818

Other identifiers 2

IdentifierTypeStateIssuer
AC33095MedicaidRI
AC32832MedicaidRI

Other names 1

  • Alternative Care Medical Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gotham6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

304 Pearl St
Unit 100
Providence, RI 02907
Phone (401) 351-1818

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1649206293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PEARL ST",
            "address_2": "SUITE 100",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072215",
            "telephone_number": "401-351-1818",
            "fax_number": "401-351-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PEARL ST",
            "address_2": "SUITE 100",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072215",
            "telephone_number": "401-351-1818",
            "fax_number": "401-351-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM PER DIEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-228-1994",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "RI",
            "license": "RI 02268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC33095",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC32832",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Care Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2011; 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.