NPIMap

Organization Active NPI

Town of Coventry

Doing business as Project Friends

  • Developmentally Disabled Services Day Training Agency
  • Coventry, RI
National Provider Identifier
1790071942
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
367 Issued in RI
Legal business name
TOWN OF COVENTRY
Doing business as
Project Friends
Practice address
50 Wood St
Coventry, RI 02816-5825
Phone
(401) 822-9175
Fax
(401) 822-6211
NPI assigned
Jun 27, 2011
Organization subpart
Yes
Parent organization
TOWN OF COVENTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Mrs. Patricia Shurtleff, MASTER OF ARTS
Title
Director
Phone
(401) 822-9175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 367 RI Primary

Addresses

Primary practice location

50 Wood St
Coventry, RI 02816-5825

Mailing address

50 Wood St
Coventry, RI 02816-5825
Phone (401) 822-9175

Other identifiers 1

IdentifierTypeStateIssuer
TC55699MedicaidRI

Other names 1

  • Project Friends Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anthony Fire Department4 organizations share this tax ID, including this one
Part of
Anthony Fire Department

Other organizations with this tax ID 3

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

Locations

50 Wood St
Coventry, RI 02816
Phone (401) 474-4844

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1790071942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WOOD ST",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165825",
            "telephone_number": "401-822-9175",
            "fax_number": "401-822-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WOOD ST",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165825",
            "telephone_number": "401-822-9175",
            "fax_number": "401-822-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF COVENTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF COVENTRY",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "SHURTLEFF",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-822-9175",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MASTER OF ARTS"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "RI",
            "license": "367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TC55699",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project Friends",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coventry, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.