TRI-COUNTY COMMUNITY ACTION AGENCY
NPI 1396780086
Clinic/Center - Federally Qualified Health Center (FQHC) in Johnston, RI
About Tri-county Community Action Agency NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI-COUNTY COMMUNITY ACTION AGENCY (NPI 1396780086), doing business as Tri-town Economic Opportunity Committee, is a healthcare organization registered as a federally qualified health center (fqhc) in Johnston, Rhode Island and active in the NPI registry since June 2006. The organization lists Joseph R Desantis, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tri-county Community Action Agency is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Tri-County Community Action Agency, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 30Johnston, RI 02919
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tri-County Community Action Agency's NPI number?
The NPI number for Tri-County Community Action Agency is 1396780086. It was assigned to this organization in the NPPES registry on June 18, 2006. The provider was formerly known as Tri-Town Economic Opportunity Committee.
Where is Tri-County Community Action Agency located?
Tri-County Community Action Agency is located at 1126 Hartford Ave, Johnston, RI 02919. The listed phone number is (401) 351-2750.
What is Tri-County Community Action Agency's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Tri-County Community Action Agency enrolled in Medicare?
Yes. Tri-County Community Action Agency is registered in the Medicare PECOS enrollment system.
When is Tri-County Community Action Agency's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Rhode Island, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tri-County Community Action Agency?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 8 Medicare specialties reassign their Medicare billing to Tri-County Community Action Agency. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (10), Nurse Practitioner (9) and Pediatric Dentistry (5). Of these, 15 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tri-County Community Action Agency accept?
Health plans from UnitedHealthcare list Tri-County Community Action Agency as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tri-County Community Action Agency was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tri-County Community Action Agency · NPI 1396780086
Federally Qualified Health Center (FQHC) organization in Johnston, Rhode Island. Organization record, active in the CMS NPPES registry since June 18, 2006.
## Identity
- **NPI:** 1396780086 (Entity type: Organization)
- **Enumerated:** June 18, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Joseph Desantis, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 1126 HARTFORD AVE, Johnston, RI 02919-7130
- **Phone:** (401) 351-2750 · **Fax:** (401) 351-6613
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Rhode Island, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 30 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (10), Nurse Practitioner (9), Pediatric Dentistry (5); 15 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1396780086/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2023
- **Other identifiers:** Medicaid TT02485 (RI)
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Source: [NPI Profile](https://npiprofile.com/npi/1396780086) · Data from the CMS NPPES public registry.