Broadrock Road Group Home
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Peace Dale, Rhode Island
1821133505- Practice location
- 1230 Broad Rock RD, Peace Dale, RI 02879-1851
- Phone
- 401-789-6880
- Fax
- —
- Last updated
- August 22, 2020
Broadrock Road Group Home is a healthcare organization based in Peace Dale, RI. Broadrock Road Group Home practices in Peace Dale, RI. The NPI Number for Broadrock Road Group Home is 1821133505 and holds a License No. 122 (RI). The current practice location address for Broadrock Road Group Home is 1230 Broad Rock RD, Peace Dale, RI 02879-1851 and can be reached out via phone at 401-789-6880.
Provider Profile Details
- NPI Number
- 1821133505
- Provider Name
- Broadrock Road Group Home
- Provider Entity Type
- Organization
- Address
- 1230 Broad Rock RD, Peace Dale, RI 02879-1851
- Phone Number
- 401-789-6880
- 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
- 1230 Broad Rock RD
Peace Dale, RI 02879-1851 - City
- Peace Dale
- State
- Rhode Island
- Zip
- 02879-1851
- Phone Number
- 401-789-6880
Provider Business Mailing Address Details
- Address
- 6 Harrington RD
Cranston, RI 02920-3080 - City
- Cranston
- State
- RI
- Zip
- 02920-3080
License Information
- License Number
- 122
- 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. | |||
Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers near Peace Dale, RI
View all Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Peace Dale →- Lindsey Crowninshield, LMHC, LCDPCounselor, Mental Health · NPI 1124586508
- Ms. Samantha R Crowley, MA, LMHCA, LCDP, CADCCounselor, Mental Health · NPI 1255963765
- Colleen Carpender, LCDPCounselor, Addiction (Substance Use Disorder) · NPI 1982297669
- Cara BermanCounselor, Mental Health · NPI 1912631987
- 981 Kings Town Road Operating Company, LLCSkilled Nursing Facility · NPI 1679874135
- Cultivating Minds Counseling ServicesMarriage & Family Therapist · NPI 1003532417
Frequently Asked Questions
What is the NPI number of Broadrock Road Group Home?
The NPI number of Broadrock Road Group Home is 1821133505. It was assigned on February 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Broadrock Road Group Home?
Broadrock 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 122.
Where does Broadrock Road Group Home practice?
The practice location is 1230 Broad Rock RD, Peace Dale, RI 02879-1851. The office can be reached at 401-789-6880 (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 1821133505 directly on the NPPES registry website.