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SOUTH ROAD GROUP HOME
NPI 1689709750
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wakefield, RI

Active since February 22, 2007
1425 SOUTH RD, WAKEFIELD, RI 02879(401) 782-9463 Get Directions Write a Review

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

About South Road Group Home NPPES

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

SOUTH ROAD GROUP HOME (NPI 1689709750) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Wakefield, 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

NPI1689709750
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSOUTH ROAD GROUP HOME
Location Address1425 SOUTH RDWakefield, RI 02879-7640
Mailing Address6 Harrington RdCranston, RI 02920-3080 · (401) 462-2659 · Fax (401) 462-6631
Phone(401) 782-9463
Organization SubpartNo
Authorized OfficialEllen R NelsonDirector · (401) 462-6001
Enumeration DateFebruary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689709750 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 · 16
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1425 SOUTH RD, Wakefield, RI 02879
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Other Identifiers 1

MedicaidLC02538RI

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 Road Group Home's NPI number?

The NPI number for South Road Group Home is 1689709750. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is South Road Group Home located?

South Road Group Home is located at 1425 South Rd, Wakefield, RI 02879. The listed phone number is (401) 782-9463.

What is South 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 South Road 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.