Active NPI
Harbor House
- Community/Behavioral Health Agency
- Providence, RI
National Provider Identifier
1992053896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 638.01
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.