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COOLIDGE AVENUE GROUP HOME
NPI 1083749246
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Woonsocket, RI

Active since February 21, 2007
225 COOLIDGE AVE, WOONSOCKET, RI 02895(401) 766-7955 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coolidge Avenue Group Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOLIDGE AVENUE GROUP HOME (NPI 1083749246) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Woonsocket, Rhode Island and active in the NPI registry since February 2007. The organization lists Ellen R Nelson, Director, as its authorized official.

NPPES Registry Identity

NPI1083749246
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCOOLIDGE AVENUE GROUP HOME
Location Address225 COOLIDGE AVEWoonsocket, RI 02895-2309
Mailing Address6 Harrington RdCranston, RI 02920-3080 · (401) 462-2659 · Fax (401) 462-6631
Phone(401) 766-7955
Organization SubpartNo
Authorized OfficialEllen R NelsonDirector · (401) 462-6001
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083749246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in RI · 152
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
225 COOLIDGE AVE, Woonsocket, RI 02895
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Other Identifiers 1

MedicaidLC01912RI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coolidge Avenue Group Home's NPI number?

The NPI number for Coolidge Avenue Group Home is 1083749246. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Coolidge Avenue Group Home located?

Coolidge Avenue Group Home is located at 225 Coolidge Ave, Woonsocket, RI 02895. The listed phone number is (401) 766-7955.

What is Coolidge Avenue Group Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Coolidge Avenue Group Home was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.