NPIMap

Organization Active NPI

Spurwink Ri - Peaked Rock Road

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wakefield, RI
National Provider Identifier
1700908969
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SPURWINK RI - PEAKED ROCK ROAD
Practice address
33 Peaked Rock Rd
Wakefield, RI 02879-2380
Phone
(401) 783-7001
NPI assigned
Apr 6, 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. Raymond Arsenault
Title
Executive Director
Phone
(401) 781-4380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

33 Peaked Rock Rd
Wakefield, RI 02879-2380

Mailing address

1 Spurwink PL
Cranston, RI 02910-2012
Phone (401) 781-4380

Other identifiers 2

IdentifierTypeStateIssuer
166OtherRIMHRH-DDD
L-9145MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
Spurwink Ri - Crompton Road6 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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700908969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SPURWINK PL",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102012",
            "telephone_number": "401-781-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PEAKED ROCK RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028792380",
            "telephone_number": "401-783-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPURWINK RI - PEAKED ROCK ROAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARSENAULT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-781-4380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHRH-DDD",
            "identifier": "166",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L-9145",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.