Active NPIOrganization

Children'S Shelter Of Blackstone Valley, INC.

Residential Treatment Facility, Emotionally Disturbed Children in Pawtucket, Rhode Island

NPI Number1124152392
Practice location
15 Gates St, Pawtucket, RI 02861-3225
Fax
401-727-2967
Last updated
September 28, 2007

Children'S Shelter Of Blackstone Valley, INC. is a healthcare organization based in Pawtucket, RI. Children'S Shelter Of Blackstone Valley, INC. practices in Pawtucket, RI. The NPI Number for Children'S Shelter Of Blackstone Valley, INC. is 1124152392 and holds a License No. 40 (RI). The current practice location address for Children'S Shelter Of Blackstone Valley, INC. is 15 Gates St, Pawtucket, RI 02861-3225 and can be reached out via phone at 401-722-4626 and via fax at 401-727-2967.

Provider Profile Details

NPI Number
1124152392
Provider Name
Children'S Shelter Of Blackstone Valley, INC.
Provider Entity Type
Organization
Address
15 Gates St, Pawtucket, RI 02861-3225
Phone Number
401-722-4626
Fax Number
401-727-2967
Organization Subpart
No
Authorized Official
Mrs. Eileen F Hernandez, MS · Executive Director · 401-722-4626
Provider Enumeration Date
March 16, 2007
Last Update Date
September 28, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Gates St
Pawtucket, RI 02861-3225
Zip
02861-3225
Phone Number
401-722-4626
Fax Number
401-727-2967
Pawtucket, RI 02861Get directions →

Provider Business Mailing Address Details

Address
15 Gates Street
Pawtucket, RI 02861
City
Pawtucket
State
RI
Zip
02861
Phone Number
401-722-4626
Fax Number
401-727-2967

License Information

License Number
40
License State
RI

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Children'S Shelter Of Blackstone Valley, INC.?

The NPI number of Children'S Shelter Of Blackstone Valley, INC. is 1124152392. It was assigned on March 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Children'S Shelter Of Blackstone Valley, INC.?

Children'S Shelter Of Blackstone Valley, INC. is registered under the primary taxonomy Residential Treatment Facility, Emotionally Disturbed Children (code 322D00000X), licensed in RI under license number 40.

Where does Children'S Shelter Of Blackstone Valley, INC. practice?

The practice location is 15 Gates St, Pawtucket, RI 02861-3225. The office can be reached at 401-722-4626 (phone) or 401-727-2967 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124152392 directly on the NPPES registry website.

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