NPIMap

Organization Active NPI

Cranston Arc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Providence, RI
National Provider Identifier
1962532978
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
30 Issued in RI
Legal business name
CRANSTON ARC
Practice address
27 Imera St
Providence, RI 02909-4004
Phone
(401) 941-1112
Fax
(401) 941-2516
NPI assigned
Mar 7, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Pat Coppage
Title
Financial Director
Phone
(401) 941-1112

National Provider Directory

National Provider Directory
Tax ID family
Cranston Arc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 30 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

27 Imera St
Providence, RI 02909-4004

Mailing address

111 Comstock Pkwy
Cranston, RI 02921-2002
Phone (401) 941-1112

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
AC22236OtherRIEDS PROVIDER NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962532978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COMSTOCK PKWY",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029212002",
            "telephone_number": "401-941-1112",
            "fax_number": "401-941-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 IMERA ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029094004",
            "telephone_number": "401-941-1112",
            "fax_number": "401-941-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANSTON ARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COPPAGE",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "401-941-1112"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "RI",
            "license": "30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS PROVIDER NUMBER",
            "identifier": "AC22236",
            "state": "RI"
        }
    ],
    "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 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.