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GREATER PROVIDENCE CHAPTER,RIARC

Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.

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Contact Information

GREATER PROVIDENCE CHAPTER,RIARC
7 TALLYHO RD
CUMBERLAND, RI  02864-3911
 Phone: 401-333-3210
 Fax: 401-353-0290
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

 315P00000X
Indicates primary specialty

NPI Profile & details for GREATER PROVIDENCE CHAPTER,RIARC

NPI # 1457477168
LBN Legal business name GREATER PROVIDENCE CHAPTER,RIARC
Authorized official JOHN COSTA - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
RI License # 121
RI Medicaid JF02850
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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