SOUTH COUNTY TRAIL GROUP HOME
NPI 1245365311
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Charlestown, RI

Q: What is South County Trail Group Home's NPI number?

The NPI number for South County Trail Group Home is 1245365311. It was assigned to this organization in the NPPES registry on February 22, 2007.

Q: What is South County Trail 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.

Active since February 22, 2007

4661 S COUNTY TRL, CHARLESTOWN, RI 02813(401) 364-7461 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About South County Trail Group Home NPPES

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

SOUTH COUNTY TRAIL GROUP HOME (NPI 1245365311) 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

NPI1245365311

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameSOUTH COUNTY TRAIL GROUP HOME

Location Address4661 S COUNTY TRLCharlestown, RI 02813-3428

Mailing Address6 Harrington RdCranston, RI 02920-3080 · (401) 462-2659 · Fax (401) 462-6631

Phone(401) 364-7461

Organization SubpartNo

Authorized OfficialEllen R NelsonDirector · (401) 462-6001

Enumeration DateFebruary 22, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1245365311 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 · 40

Definition

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

4661 S COUNTY TRL, Charlestown, RI 02813

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Other Identifiers 1

MedicaidLC03581RI

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 South County Trail Group Home's NPI number?

The NPI number for South County Trail Group Home is 1245365311. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is South County Trail Group Home located?

South County Trail Group Home is located at 4661 S County Trl, Charlestown, RI 02813. The listed phone number is (401) 364-7461.

What is South County Trail 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 South County Trail 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.