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CAROLINA BACK ROAD GROUP HOME
NPI 1205971983
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Charlestown, RI

Active since February 21, 2007
87 CAROLINA BACK RD, CHARLESTOWN, RI 02813(401) 364-1081 Get Directions Write a Review

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

About Carolina Back Road Group Home NPPES

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

CAROLINA BACK ROAD GROUP HOME (NPI 1205971983) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Charlestown, 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

NPI1205971983
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCAROLINA BACK ROAD GROUP HOME
Location Address87 CAROLINA BACK RDCharlestown, RI 02813-3602
Mailing Address6 Harrington RdCranston, RI 02920-3080 · (401) 462-2659 · Fax (401) 462-6631
Phone(401) 364-1081
Organization SubpartNo
Authorized OfficialEllen R NelsonDirector · (401) 462-6001
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205971983 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 · 263
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

87 CAROLINA BACK RD, Charlestown, RI 02813
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Other Identifiers 1

MedicaidLC01932RI

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 Carolina Back Road Group Home's NPI number?

The NPI number for Carolina Back Road Group Home is 1205971983. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Carolina Back Road Group Home located?

Carolina Back Road Group Home is located at 87 Carolina Back Rd, Charlestown, RI 02813. The listed phone number is (401) 364-1081.

What is Carolina Back Road 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 Carolina Back Road Group Home was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.