Organization Active NPI

Town of South Kingstown, Ri

  • Adult Day Care Clinic/Center
  • Wakefield, RI
National Provider Identifier
1669517017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
12 Issued in RI
Legal business name
TOWN OF SOUTH KINGSTOWN, RI
Practice address
283 Post Rd
Wakefield, RI 02879-7507
Phone
(401) 783-8736
Fax
(401) 792-9609
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen A. Alfred, MPA
Title
Town Manager
Phone
(401) 789-9331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 12 RI Primary

Addresses

Primary practice location

283 Post Rd
Wakefield, RI 02879-7507

Mailing address

180 High St
Wakefield, RI 02879-3140
Phone (401) 789-9331

Other identifiers 1

IdentifierTypeStateIssuer
SK04307MedicaidRI

Other names 1

  • Elderly Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Elderly Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

180 High St
Wakefield, RI 02879

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669517017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793140",
            "telephone_number": "401-789-9331",
            "fax_number": "401-789-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 POST RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028797507",
            "telephone_number": "401-783-8736",
            "fax_number": "401-792-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SOUTH KINGSTOWN, RI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALFRED",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "401-789-9331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "RI",
            "license": "12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SK04307",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderly Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wakefield, RI

Sources for this page

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