Blackstone Valley Community Action Program, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BLACKSTONE VALLEY COMMUNITY ACTION PROGRAM, INC.

Practice address

32 Goff Ave
Pawtucket, RI 02860-2928

Phone

(401) 723-4520

Fax

(401) 722-1053

NPI assigned

Mar 8, 2007

Last updated

Aug 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vincent Ceglie

Title

Executive Director

Phone

(401) 723-4520

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Blackstone Valley Community Action Program Inc3 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.

• Blackstone Valley Community Action Program, Inc.

  • Case Management Agency
  • Pawtucket, RI
  • NPI 1275663379
  NPD tax ID
• Blackstone Valley Community Action Program, Inc.

  • Early Intervention Provider Agency
  • Pawtucket, RI
  • NPI 1851170674
  NPD tax ID

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1972634384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 GOFF AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602928",
            "telephone_number": "401-723-4520",
            "fax_number": "401-722-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 GOFF AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602928",
            "telephone_number": "401-723-4520",
            "fax_number": "401-722-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE VALLEY COMMUNITY ACTION PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "CEGLIE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-723-4520"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BV46767",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blackstone Cardiology Associates, PC
• Blackstone Cardiology Associates, PC
• Blackstone Health, Inc (New Horizons Adult Day Center)
• Blackstone Valley Community Action Program, Inc.
• Blackstone Valley Community Action Program, Inc.
• Blackstone Valley Community Health Care
• Blackstone Valley Community Health Care, Inc.
• Blackstone Valley Community Health Care, Inc. (Blackstone Valley Community Health Pharmacy)
• Blackstone Valley Foot and Ankle Inc.
• Blackstone Valley Youth & Family Collaborative

• Case Management Agency in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Case Management Agency in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.