MOWRY GROUP HOME – NPI #1164567202
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

MOWRY GROUP HOME is a community based residential treatment facility located in NORTH SMITHFIELD, RI. NPPES has assigned the NPI number 1164567202 to MOWRY GROUP HOME on February 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOWRY GROUP HOME” is a dba name, the actual legal business name for this organization is STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 7 years ago on Aug 22, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOWRY GROUP HOME below.

NPI Profile for
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS

NPI Number
1164567202
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
Doing Business As (dba): MOWRY GROUP HOME
Primary location
80 MOWRY AVENUE
NORTH SMITHFIELD, RI 02896-7110
Phone: (401) 769-6681 Fax:
Mailing address
6 HARRINGTON RD
CRANSTON, RI 02920-3080
Phone: (401) 462-2659 Fax:
Organization Subpart
No
Authorized Official
JENNIFER WHITE
DEPUTY CFO
Phone: (401) 462-1343
Updated
Identifiers

Identifiers for MOWRY GROUP HOME

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDRILC01616
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
321

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.