Ethan Place

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

License

207 Issued in RI

Legal business name

ETHAN PLACE

Practice address

85 Ethan St
Warwick, RI 02888-3905

Phone

(401) 781-5460

Fax

(401) 781-0479

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra L. Lacross, RN

Title

Director

Phone

(401) 781-5460

Specialties & licenses 1

Addresses

Other names 1

• OES Home of RI Former legal business name

Tax ID family

Ethan Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Oes Home of Ri,Inc/Ethan Place

  • Assisted Living Facility
  • Warwick, RI
  • NPI 1558557629
  NPD tax ID

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780807347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ETHAN ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883905",
            "telephone_number": "401-781-5460",
            "fax_number": "401-781-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 ETHAN ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883905",
            "telephone_number": "401-781-5460",
            "fax_number": "401-781-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LACROSS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-781-5460",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "RI",
            "license": "207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OES Home of RI",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Erin McDowell, LMHC, LLC
• Christina Erinakes, CNM
• Peter J Erklauer, MS, SLP-CCC
• Kristie A. Ervanian, CAGS, LMHC
• Robin Lynne Etchingham, RN
• Matthew David Ethier, MD
• Gregg M Etter, MD
• Taylor Ettore, PA-C
• Mary Jane P Euell, RD
• Peter Thomas Evangelista, MD

• Recovery Care Clinic/Center in Warwick, RI
• Providers in Warwick, RI by specialty
• Recovery Care Clinic/Center 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.