Organization Active NPI

Harbor House

  • Community/Behavioral Health Agency
  • Providence, RI
National Provider Identifier
1992053896
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
638.01 Issued in RI
Legal business name
HARBOR HOUSE
Practice address
12 Bassett St
Providence, RI 02903-4206
Phone
(401) 273-5100
Fax
(401) 273-5107
NPI assigned
Aug 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Mr. Ralph A. Lord
Title
Executive Director
Phone
(401) 273-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 638.01 RI Primary

Addresses

Primary practice location

12 Bassett St
Providence, RI 02903-4206

Mailing address

12 Bassett St
Providence, RI 02903-4206
Phone (401) 273-5100

Other names 1

  • Providence Clubhouse Development Group Former legal business name

National Provider Directory

National Provider Directory

Locations

12 Bassett St
Providence, RI 02903
Phone (401) 424-5200

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1992053896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BASSETT ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034206",
            "telephone_number": "401-273-5100",
            "fax_number": "401-273-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BASSETT ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034206",
            "telephone_number": "401-273-5100",
            "fax_number": "401-273-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-273-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "RI",
            "license": "638.01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Clubhouse Development Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 27, 2012; 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.