MOONSTONE BEACH RD GROUP HOME
NPI 1154466522
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wakefield, RI
About Moonstone Beach Rd Group Home NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOONSTONE BEACH RD GROUP HOME (NPI 1154466522) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Wakefield, 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
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAKEFIELD, RI 02879
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 Moonstone Beach Rd Group Home's NPI number?
The NPI number for Moonstone Beach Rd Group Home is 1154466522. It was assigned to this organization in the NPPES registry on February 21, 2007.
Where is Moonstone Beach Rd Group Home located?
Moonstone Beach Rd Group Home is located at 446 Moonstone Beach Rd, Wakefield, RI 02879. The listed phone number is (401) 782-8480.
What is Moonstone Beach Rd 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 Moonstone Beach Rd Group Home 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.
# Moonstone Beach Rd Group Home · NPI 1154466522
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Wakefield, Rhode Island. Organization record, active in the CMS NPPES registry since February 21, 2007.
## Identity
- **NPI:** 1154466522 (Entity type: Organization)
- **Enumerated:** February 21, 2007
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Ellen Nelson, DIRECTOR
## Practice location
- **Address:** 446 MOONSTONE BEACH RD, Wakefield, RI 02879-5110
- **Phone:** (401) 782-8480
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid MB04412 (RI)
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Source: [NPI Profile](https://npiprofile.com/npi/1154466522) · Data from the CMS NPPES public registry.