Broadrock Road Group Home

  • 1821133505 NPI Number
  • |
  • Actived: 14 years ago
  • |
According to our database, the NPI number for Broadrock Road Group Home is 1821133505 and activated since 14 years ago. Broadrock Road Group Home is an Organization provider specializes in Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. The provider information was last updated on 08/22/2020.

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Overview of Broadrock Road Group Home

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 02/21/2007
  • Last updated: 08/22/2020

Primary Scrop of Practice

  • Taxonomy Code: 320900000X
  • Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
  • License Number: 122
  • License State: RI

Provider Mailing Address

  • Address: 6 Harrington Rd
    Cranston, RI 02920
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1230 Broad Rock Rd
    Peace Dale, RI 02879
  • Phone: 401-789-6880
  • Fax:

Authorized Official

  • Name: MS. Ellen R Nelson
  • Position/Title: Director
  • Telephone Number: 401-462-6001

Scope of Practice

  • Taxonomy Code: 320900000X
  • Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
  • License Number: 122
  • License State: RI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: LC02459
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: RI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Broadrock Road Group Home?
  • A: The npi number for Broadrock Road Group Home is 1821133505.
  • Q: What are Broadrock Road Group Home's specialties?
  • A: Broadrock Road Group Home's specialties are Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities and different specialities.
  • Q: Where is Broadrock Road Group Home business practice location?
  • A: Broadrock Road Group Home business practice location is 1230 Broad Rock Rd, Peace Dale, RI 02879.
  • Q: How to contact Broadrock Road Group Home?
  • A: You can contact Broadrock Road Group Home via 401-789-6880.
  • Q: What is the authorized official for Broadrock Road Group Home?
  • A: The authorized office name is MS. Ellen R Nelson with position/title is Director and you can reach the authorized official via phone number 4014626001.