1285766584 NPI number — CARITAS INC.

Table of content: (NPI 1285766584)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285766584 NPI number — CARITAS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARITAS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285766584
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
166 PAWTUCKET AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PAWTUCKET
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02860-3811
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-762-4421
Provider Business Mailing Address Fax Number:
401-762-4867

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
166 PAWTUCKET AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PAWTUCKET
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02860-3811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-722-4644
Provider Business Practice Location Address Fax Number:
401-475-9533
Provider Enumeration Date:
03/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CIPOLLA
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
DIRECTOR OF FINANCE & OPERATIONS
Authorized Official Telephone Number:
401-475-8009

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0855X , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 324500000X , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3245S0500X , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0405X , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 253474 . This is a "MAGELLAN BEHAVIORAL HLTH" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 334543 . This is a "VALUE OPTIONS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 5079653 . This is a "UNITED HEALTH" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 6997-7 . This is a "BCBS RI (UB)" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 410887 . This is a "BCBSRI BLUE CHIP (HCFA)" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 7891442 . This is a "AETNA" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: A2833203 . This is a "OXFORF HEALTH PLANS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 1022660 . This is a "BEACON HEALTH STRATEGIES" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 334543 . This is a "EMPIRE NETWORK" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 409686 . This is a "BCBSRI BLUE CHIP (UB)" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: CH-04437 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30774-5 . This is a "BCBSRI (HCFA)" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




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