Dockray Street Group Home
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wakefield, Rhode Island
1790810968- Practice location
- 53 Dockray St, Wakefield, RI 02879
- Phone
- 401-789-5110
- Fax
- —
- Last updated
- August 22, 2020
Dockray Street Group Home is a healthcare organization based in Wakefield, RI. Dockray Street Group Home practices in Wakefield, RI. The NPI Number for Dockray Street Group Home is 1790810968 and holds a License No. 86 (RI). The current practice location address for Dockray Street Group Home is 53 Dockray St, Wakefield, RI 02879 and can be reached out via phone at 401-789-5110.
Provider Profile Details
- NPI Number
- 1790810968
- Provider Name
- Dockray Street Group Home
- Provider Entity Type
- Organization
- Address
- 53 Dockray St, Wakefield, RI 02879
- Phone Number
- 401-789-5110
- 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
- 53 Dockray St
Wakefield, RI 02879 - City
- Wakefield
- State
- Rhode Island
- Zip
- 02879
- Phone Number
- 401-789-5110
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
License Information
- License Number
- 86
- 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 Dockray Street Group Home?
The NPI number of Dockray Street Group Home is 1790810968. It was assigned on February 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Dockray Street Group Home?
Dockray Street 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 86.
Where does Dockray Street Group Home practice?
The practice location is 53 Dockray St, Wakefield, RI 02879. The office can be reached at 401-789-5110 (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 1790810968 directly on the NPPES registry website.