Active NPI
Jewish Seniors Agency of Rhode Island
- Adult Day Care Clinic/Center
- Providence, RI
National Provider Identifier
1891869608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- JEWISH SENIORS AGENCY OF RHODE ISLAND
- Practice address
- 229 Waterman Street
Providence, RI 02906 - Phone
- (401) 351-4750
- Fax
- (401) 421-5905
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul R Barrette
- Title
- Executive Director
- Phone
- (401) 351-4750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
229 Waterman Street
Providence, RI 02906
Mailing address
229 Waterman Street
Providence, RI 02906
Phone (401) 351-4750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TC04772 | Medicaid | RI |
Other names 1
- The Comprehensive Adult Day Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891869608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 WATERMAN STREET",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02906",
"telephone_number": "401-351-4750",
"fax_number": "401-421-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 WATERMAN STREET",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02906",
"telephone_number": "401-351-4750",
"fax_number": "401-421-5905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEWISH SENIORS AGENCY OF RHODE ISLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BARRETTE",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "401-351-4750"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TC04772",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Comprehensive Adult Day Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 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.