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COLLEGE PARK APARTMENTS
NPI 1093840258
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Providence, RI

Active since February 21, 2007
612 MOUNT PLEASANT AVE, PROVIDENCE, RI 02908(401) 331-9872 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About College Park Apartments NPPES

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

COLLEGE PARK APARTMENTS (NPI 1093840258) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Providence, 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

NPI1093840258
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCOLLEGE PARK APARTMENTS
Location Address612 MOUNT PLEASANT AVEProvidence, RI 02908-1925
Mailing Address6 Harrington RdCranston, RI 02920-3080 · (401) 462-2659 · Fax (401) 462-6631
Phone(401) 331-9872
Organization SubpartNo
Authorized OfficialEllen R NelsonDirector · (401) 462-6001
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093840258 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 · 314
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
612 MOUNT PLEASANT AVE, Providence, RI 02908
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Other Identifiers 1

MedicaidLC01619RI

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 College Park Apartments's NPI number?

The NPI number for College Park Apartments is 1093840258. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is College Park Apartments located?

College Park Apartments is located at 612 Mount Pleasant Ave, Providence, RI 02908. The listed phone number is (401) 331-9872.

What is College Park Apartments'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 College Park Apartments was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.