AVATAR RESIDENTIAL INC. – NPI #1518084508
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.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

AVATAR RESIDENTIAL INC. is a community based residential treatment facility located in WEST WARWICK, RI. NPPES has assigned the NPI number 1518084508 to AVATAR RESIDENTIAL INC. on March 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Aug 22, 2020. 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 AVATAR RESIDENTIAL INC. below.

NPI Profile for
AVATAR RESIDENTIAL INC.

NPI Number
1518084508
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
AVATAR RESIDENTIAL INC.
Primary location
102 DEERFIELD DR
WEST WARWICK, RI 02893-3240
Phone: (401) 821-1541 Fax:
Mailing address
33 COLLEGE HILL RD
BUILDING 33
WARWICK, RI 02886-2776
Phone: (401) 826-7500 Fax: (401) 826-7503
Organization Subpart
No
Authorized Official
KATHLEEN ELLIS
VICE PRESIDENT
Phone: (401) 826-7500
Updated
Identifiers

Identifiers for AVATAR RESIDENTIAL INC.

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
OTHERPROVIDER NUMBERRIAD37249
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)		 RI 324

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.