South Road Group Home
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wakefield, Rhode Island
1689709750- Practice location
- 1425 South RD, Wakefield, RI 02879-7640
- Phone
- 401-782-9463
- Fax
- —
- Last updated
- August 22, 2020
South Road Group Home is a healthcare organization based in Wakefield, RI. South Road Group Home practices in Wakefield, RI. The NPI Number for South Road Group Home is 1689709750 and holds a License No. 16 (RI). The current practice location address for South Road Group Home is 1425 South RD, Wakefield, RI 02879-7640 and can be reached out via phone at 401-782-9463.
Provider Profile Details
- NPI Number
- 1689709750
- Provider Name
- South Road Group Home
- Provider Entity Type
- Organization
- Address
- 1425 South RD, Wakefield, RI 02879-7640
- Phone Number
- 401-782-9463
- 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 22, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1425 South RD
Wakefield, RI 02879-7640 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879-7640
- Phone Number
- 401-782-9463
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
- 16
- 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 South Road Group Home?
The NPI number of South Road Group Home is 1689709750. It was assigned on February 22, 2007 and is currently active in the NPPES registry.
What is the specialty of South Road Group Home?
South Road 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 16.
Where does South Road Group Home practice?
The practice location is 1425 South RD, Wakefield, RI 02879-7640. The office can be reached at 401-782-9463 (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 1689709750 directly on the NPPES registry website.