Rocky Knoll Group Home, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

7 Issued in RI

Legal business name

ROCKY KNOLL GROUP HOME, INC.

Practice address

3709 Main Rd
Tiverton, RI 02878-4854

Phone

(401) 624-6359

Fax

(401) 624-8383

NPI assigned

Mar 8, 2007

Last updated

Jul 8, 2011By 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

Nancy M Carvalho

Title

Administrator

Phone

(401) 624-6359

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1982735247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028784854",
            "telephone_number": "401-624-6359",
            "fax_number": "401-624-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028784854",
            "telephone_number": "401-624-6359",
            "fax_number": "401-624-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY KNOLL GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "CARVALHO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-624-6359"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "RI",
            "license": "7",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "RI",
            "license": "7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RK61536",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Tiverton, RI
• Providers in Tiverton, RI by specialty
• Nursing Facility/Intermediate Care Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.