Blackstone Valley Assisted Living Enterprise Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALR01421 Issued in RI

Legal business name

BLACKSTONE VALLEY ASSISTED LIVING ENTERPRISE INC.

Doing business as

Blackstone Valley Assisted Living

Practice address

649 Broad St
Central Falls, RI 02863-2803

Phone

(401) 725-7045

Fax

(401) 725-0004

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By 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

Concetta Ann Dicenzo, RN, BSN

Title

RN, Adminitrator, Owner

Phone

(401) 725-7045

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blackstone Valley Assisted Living Doing business as

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710015870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 BROAD ST",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028632803",
            "telephone_number": "401-725-7045",
            "fax_number": "401-725-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 BROAD ST",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028632803",
            "telephone_number": "401-725-7045",
            "fax_number": "401-725-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE VALLEY ASSISTED LIVING ENTERPRISE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICENZO",
        "authorized_official_first_name": "CONCETTA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RN, ADMINITRATOR, OWNER",
        "authorized_official_telephone_number": "401-725-7045",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "ALR01421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BV48550",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackstone Valley Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine F Barton, OPTICIAN
• Justin Belanger, DC
• Kristyn Benedetti
• Jacques Bertheau Jr.
• Blackstone Dental,PC
• Blackstone Valley Community Health Care, Inc.
• Blackstone Valley Family Dental Assoc.PC
• Donald Alan Brien, R,PH.
• Amanda Brown
• Nelly E Burdette, PSY.D.

• Assisted Living Facility in Central Falls, RI
• Providers in Central Falls, RI by specialty
• Assisted Living Facility in Rhode Island

• 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.