Moonstone Beach RD Group Home
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wakefield, Rhode Island
1154466522- Practice location
- 446 Moonstone Beach RD, Wakefield, RI 02879-5110
- Phone
- 401-782-8480
- Fax
- —
- Last updated
- August 22, 2020
Moonstone Beach RD Group Home is a healthcare organization based in Wakefield, RI. Moonstone Beach RD Group Home practices in Wakefield, RI. The NPI Number for Moonstone Beach RD Group Home is 1154466522 and holds a License No. 26 (RI). The current practice location address for Moonstone Beach RD Group Home is 446 Moonstone Beach RD, Wakefield, RI 02879-5110 and can be reached out via phone at 401-782-8480.
Provider Profile Details
- NPI Number
- 1154466522
- Provider Name
- Moonstone Beach RD Group Home
- Provider Entity Type
- Organization
- Address
- 446 Moonstone Beach RD, Wakefield, RI 02879-5110
- Phone Number
- 401-782-8480
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Ms. Ellen R Nelson · Director · 401-462-6001
- Provider Enumeration Date
- February 21, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 446 Moonstone Beach RD
Wakefield, RI 02879-5110 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879-5110
- Phone Number
- 401-782-8480
Provider Business Mailing Address Details
- Address
- 6 Harrington RD
Cranston, RI 02920-3080 - City
- Cranston
- State
- RI
- Zip
- 02920-3080
- Phone Number
- 401-462-2659
- Fax Number
- 401-462-6631
License Information
- License Number
- 26
- License State
- RI
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Moonstone Beach RD Group Home?
The NPI number of Moonstone Beach RD Group Home is 1154466522. It was assigned on February 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Moonstone Beach RD Group Home?
Moonstone Beach RD Group Home is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X), licensed in RI under license number 26.
Where does Moonstone Beach RD Group Home practice?
The practice location is 446 Moonstone Beach RD, Wakefield, RI 02879-5110. The office can be reached at 401-782-8480 (phone).
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 1154466522 directly on the NPPES registry website.