Organization Active NPI

Easter Seals Rhode Island

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Providence, RI
National Provider Identifier
1871079863
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
848.00 Issued in RI
Legal business name
EASTER SEALS RHODE ISLAND
Practice address
662 Hartford Ave
Providence, RI 02909-5917
Phone
(401) 854-9353
NPI assigned
Jul 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Mia Martin
Title
Cfo-Esct
Phone
(512) 615-6811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 848.00 RI Primary

Addresses

Primary practice location

662 Hartford Ave
Providence, RI 02909-5917

Mailing address

633 Third Aveune 6TH Floor
Ny, NY 10017-6701
Phone (212) 727-4300

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Rhode Island3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1871079863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 THIRD AVEUNE 6TH FLOOR",
            "city": "NY",
            "state": "NY",
            "postal_code": "100176701",
            "telephone_number": "212-727-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 HARTFORD AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095917",
            "telephone_number": "401-854-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS RHODE ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "CFO-ESCT",
        "authorized_official_telephone_number": "512-615-6811"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "RI",
            "license": "848.00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.