AIDS Care Ocean State, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

46853 Issued in RI

Legal business name

AIDS CARE OCEAN STATE, INC.

Doing business as

FACTS, Inc.
Sunrise Community Housing, Inc.

Practice address

557 Broad St
Providence, RI 02907-1403

Phone

(401) 273-1888

Fax

(401) 454-1927

NPI assigned

Mar 22, 2007

Last updated

May 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Mercure

Title

Coo

Phone

(401) 521-3603

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• FACTS, Inc. Doing business as
• Sunrise Community Housing, Inc. Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Brideen McCarthy, LCSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1881444693
  NPD (past)
• Jillian Murphree, MSW, LICSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1376922120
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1700902392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PARKIS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071454",
            "telephone_number": "401-521-3603",
            "fax_number": "401-861-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071403",
            "telephone_number": "401-273-1888",
            "fax_number": "401-454-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS CARE OCEAN STATE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "MERCURE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "401-521-3603"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "RI",
            "license": "46853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700902392",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FACTS, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunrise Community Housing, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ayesha J Ahmed, PT, MHS
• Khaja N Ahmed, MD, CHE
• Benjamin Ahn
• Ahr Consulting, Inc
• Meesha Ahuja, MD
• AIDS Project Rhode Island
• Michelle Aiello, PHD
• Abdulrahaman Aileru
• Kyle Aileru, LCSW
• Meav Tan Ainley, RPH

• Emotionally Disturbed Childrens' Residential Treatment Facility in Providence, RI
• Providers in Providence, RI by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.