SUNRISE COMMUNITY HOUSING, INC.
NPI 1700902392
Residential Treatment Facility, Emotionally Disturbed Children in Providence, RI
NPI Status: Active since March 22, 2007
Contact Information
557 BROAD ST
PROVIDENCE, RI
ZIP 02907
Phone: (401) 273-1888
Fax: (401) 454-1927
- Organization
- Residential Treatment Facility, Emotiona...
- CLIA Number: 41D1023663
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 03-21-2026
About SUNRISE COMMUNITY HOUSING, INC.
This page provides the complete NPI Profile along with additional information for Sunrise Community Housing, Inc., a provider established in Providence, Rhode Island operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1700902392 assigned on March 2007. The practitioner's primary taxonomy code is 322D00000X with license number 46853 (RI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Sunrise Community Housing, Inc.. The authorized official of this NPI record is Gina Mercure (Coo)
- NPI
- 1700902392
- Provider Legal Name
- AIDS CARE OCEAN STATE, INC.
- Other Organization Name
- SUNRISE COMMUNITY HOUSING, INC.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 557 BROAD ST PROVIDENCE, RI 02907
- Location Phone
- (401) 273-1888
- Location Fax
- (401) 454-1927
- Mailing Address
- 18 PARKIS AVE PROVIDENCE, RI 02907
- Mailing Phone
- (401) 521-3603
- Mailing Fax
- (401) 454-1927
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-22-2007
- Last Update Date
- 05-14-2019
- Code Navigator
Location Map
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
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- 46853
- License State
- RI
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |
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.
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 |
|---|---|---|---|
| 1700902392 | MEDICAID (05) | RI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 41D1023663
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- March 22, 2024
- Certificate Expiration Date
- March 21, 2026
- Laboratory Director
- PAUL FITZGERALD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sunrise Community Housing, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 7 | 0 | 0 | 9 | 0 | 2 | 3 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 18 | 0 | 4 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 8 + 0 + 4 + 3 + 1 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1700902392 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
MR. DAVID BLANCO
Dentist
557 BROAD ST
PROVIDENCE, RI
ZIP 02907
PRIYANK TANEJA MD
Dentist
557 BROAD ST
PROVIDENCE, RI
ZIP 02907
BERNADETTE MANSFIELD NPP
Nurse Practitioner
557 BROAD ST
PROVIDENCE, RI
ZIP 02907
EMILY BRIDEEN MCCARTHY LCSW
Social Worker
(Clinical)
557 BROAD ST
PROVIDENCE, RI
ZIP 02907
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700902392, enumerated as an "organization" on March 22, 2007.
The provider is located at 557 BROAD ST PROVIDENCE, RI 02907 and the phone number is (401) 273-1888.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
