CHILDREN'S SHELTER OF BLACKSTONE VALLEY, INC. – NPI #1124152392
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

CHILDREN'S SHELTER OF BLACKSTONE VALLEY, INC. is a residential treatment facility located in PAWTUCKET, RI. NPPES has assigned the NPI number 1124152392 to CHILDREN'S SHELTER OF BLACKSTONE VALLEY, INC. on March 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 19 years ago on Sep 28, 2007. 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 CHILDREN'S SHELTER OF BLACKSTONE VALLEY, INC. below.

NPI Profile for
CHILDREN'S SHELTER OF BLACKSTONE VALLEY, INC.

NPI Number
1124152392
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
CHILDREN'S SHELTER OF BLACKSTONE VALLEY, INC.
Primary location
15 GATES ST
PAWTUCKET, RI 02861-3225
Phone: (401) 722-4626 Fax: (401) 727-2967
Mailing address
15 GATES STREET
PAWTUCKET, RI 02861
Phone: (401) 722-4626 Fax: (401) 727-2967
Organization Subpart
No
Authorized Official
EILEEN HERNANDEZ
EXECUTIVE DIRECTOR
Phone: (401) 722-4626
Updated
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)		 RI 40

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.