Nickerson Community Center
Residential Treatment Facility, Emotionally Disturbed Children in Providence, Rhode Island
1457549578- Practice location
- 97 Delaine St, Providence, RI 02909-2726
- Phone
- 401-383-5672
- Fax
- —
- Last updated
- October 15, 2007
Nickerson Community Center is a healthcare organization based in Providence, RI. Nickerson Community Center practices in Providence, RI. The NPI Number for Nickerson Community Center is 1457549578. The current practice location address for Nickerson Community Center is 97 Delaine St, Providence, RI 02909-2726 and can be reached out via phone at 401-383-5672.
Provider Profile Details
- NPI Number
- 1457549578
- Provider Name
- Nickerson Community Center
- Provider Entity Type
- Organization
- Address
- 97 Delaine St, Providence, RI 02909-2726
- Phone Number
- 401-383-5672
- Primary Taxonomy
- Residential Treatment Facility, Emotionally Disturbed Children · 322D00000X
- Organization Subpart
- No
- Authorized Official
- Lisa D'Ambra · Executive Director · 401-351-2241
- Provider Enumeration Date
- October 15, 2007
- Last Update Date
- October 15, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 97 Delaine St
Providence, RI 02909-2726 - City
- Providence
- State
- Rhode Island
- Zip
- 02909-2726
- Phone Number
- 401-383-5672
Provider Business Mailing Address Details
- Address
- 133 Delaine St
Providence, RI 02909-2728 - City
- Providence
- State
- RI
- Zip
- 02909-2728
- Phone Number
- 401-351-2241
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Residential Treatment Facility, Emotionally Disturbed Children · 322D00000X · 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 Nickerson Community Center?
The NPI number of Nickerson Community Center is 1457549578. It was assigned on October 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Nickerson Community Center?
Nickerson Community Center is registered under the primary taxonomy Residential Treatment Facility, Emotionally Disturbed Children (code 322D00000X).
Where does Nickerson Community Center practice?
The practice location is 97 Delaine St, Providence, RI 02909-2726. The office can be reached at 401-383-5672 (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 1457549578 directly on the NPPES registry website.