DOCKRAY STREET GROUP HOME
NPI 1790810968
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wakefield, RI
About Dockray Street Group Home NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOCKRAY STREET GROUP HOME (NPI 1790810968) 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
Specialties & Licenses
Other Identifiers 1
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 Dockray Street Group Home's NPI number?
The NPI number for Dockray Street Group Home is 1790810968. It was assigned to this organization in the NPPES registry on February 21, 2007.
Where is Dockray Street Group Home located?
Dockray Street Group Home is located at 53 Dockray St, Wakefield, RI 02879. The listed phone number is (401) 789-5110.
What is Dockray Street 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 Dockray Street 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.
# Dockray Street Group Home · NPI 1790810968
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Wakefield, Rhode Island. Organization record, active in the CMS NPPES registry since February 21, 2007.
## Identity
- **NPI:** 1790810968 (Entity type: Organization)
- **Enumerated:** February 21, 2007
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Ellen Nelson, DIRECTOR
## Practice location
- **Address:** 53 DOCKRAY ST, Wakefield, RI 02879
- **Phone:** (401) 789-5110
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid LC01934 (RI)
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Source: [NPI Profile](https://npiprofile.com/npi/1790810968) · Data from the CMS NPPES public registry.