AVATAR RESIDENTIAL INC.
NPI 1649397795
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lincoln, RI

NPI Status: Active since March 23, 2007

Contact Information

14 DEXTER ROCK RD
LINCOLN, RI
ZIP 02865
Phone: (401) 333-4383

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About AVATAR RESIDENTIAL INC.

This page provides the complete NPI Profile along with additional information for Avatar Residential Inc., a provider established in Lincoln, 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 1649397795 assigned on March 2007. The practitioner's primary taxonomy code is 320900000X with license number 317 (RI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Kathleen A. Ellis (Vice President)

NPI
1649397795
Provider Name
AVATAR RESIDENTIAL INC.
Entity Type
Organization
Location Address
14 DEXTER ROCK RD LINCOLN, RI 02865
Location Phone
(401) 333-4383
Mailing Address
33 COLLEGE HILL RD BUILDING 33 WARWICK, RI 02886
Mailing Phone
(401) 826-7500
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2007
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.
317
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
AR01379OTHER (01)RIPROVIDER NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649397795
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26896914718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 6 + 9 + 1 + 4 + 7 + 1 + 8 + 24 = 85
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 85 = 55

The NPI number 1649397795 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649397795, enumerated as an "organization" on March 23, 2007.

The provider is located at 14 DEXTER ROCK RD LINCOLN, RI 02865 and the phone number is (401) 333-4383.

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.