AVATAR RESIDENTIAL INC.
NPI 1457478125
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Woonsocket, RI

Active since March 26, 2007
221 JILLSON AVE, WOONSOCKET, RI 02895(401) 766-7950 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

About AVATAR RESIDENTIAL INC.

This page provides the complete NPI Profile along with additional information for Avatar Residential Inc., a provider established in Woonsocket, Rhode Island operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1457478125 assigned on March 2007. The practitioner's primary taxonomy code is 320900000X with license number 151 (RI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Kathleen A. Ellis (Vice President)

NPI
1457478125 Verify this NPI
Provider Name
AVATAR RESIDENTIAL INC.
Entity Type
Organization
Location Address
221 JILLSON AVE WOONSOCKET, RI 02895
Location Phone
(401) 766-7950
Mailing Address
33 COLLEGE HILL RD BUILDING 33 WARWICK, RI 02886
Mailing Phone
(401) 826-7500
Mailing Fax
(401) 826-7503
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
151
License State
RI
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHLEEN A. ELLIS

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(401) 826-7500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AR01377OTHER (01)RIPROVIDER NUMBER

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457478125, enumerated as an "organization" on March 26, 2007.

The provider is located at 221 JILLSON AVE WOONSOCKET, RI 02895 and the phone number is (401) 766-7950.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.