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PROSPECT CHARTERCARE SJHSRI, LLC
NPI 1821656034
Internal Medicine - Addiction Medicine in N Providence, RI

Active since June 03, 2019
200 HIGH SERVICE AVE, N PROVIDENCE, RI 02904(310) 943-4500 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 15, 2021, Jun 3, 2019 (2 updates tracked since 2019).

About Prospect Chartercare Sjhsri, Llc NPPES

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

PROSPECT CHARTERCARE SJHSRI, LLC (NPI 1821656034) is a healthcare organization registered as an addiction medicine in N Providence, Rhode Island and active in the NPI registry since June 2019. The organization lists Robert Jon Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1821656034
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NamePROSPECT CHARTERCARE SJHSRI, LLC
Location Address200 HIGH SERVICE AVEN Providence, RI 02904-5113
Mailing Address200 High Service AveNorth Providence, RI 02904-5113 · (310) 943-4500
Phone(310) 943-4500
Organization SubpartNo
Authorized OfficialRobert Jon EldersSecretary · (714) 788-1249
Enumeration DateJune 3, 2019
Last NPPES UpdateJanuary 15, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2021
✔ NPI 1821656034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
200 HIGH SERVICE AVE, N Providence, RI 02904
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. JOSEPH HEALTH SERVICES OF RI
General Acute Care Hospital
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
THOMAS HOPKINS P.A.
Physician Assistant
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
CHRISTINE L CONSTANTINEAU CSW
Social Worker (Clinical)
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
JONA VOLCY
Social Worker
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-2525
UCHECHUKWU UGORJI DO
Psychiatry & Neurology (Psychiatry)
200 HIGH SERVICE AVE
N PROVIDENCE, RI 02904
Providence County (401) 456-3000
DR. KATHERINE MARIE WATERS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3155
VLADANA ALEMAN-BRIZUELA M.D.
Emergency Medicine
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
ABDOL HAMID SHAHINFAR MD
Radiology (Diagnostic Radiology)
200 HIGH SERVICE AVE, RADIOLOGY DEPARTMENT
NORTH PROVIDENCE, RI 02904
Providence County (413) 456-4215

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 Prospect Chartercare Sjhsri, LLC's NPI number?

The NPI number for Prospect Chartercare Sjhsri, LLC is 1821656034. It was assigned to this organization in the NPPES registry on June 3, 2019.

Where is Prospect Chartercare Sjhsri, LLC located?

Prospect Chartercare Sjhsri, LLC is located at 200 High Service Ave, N Providence, RI 02904. The listed phone number is (310) 943-4500.

What is Prospect Chartercare Sjhsri, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Prospect Chartercare Sjhsri, LLC was last updated on January 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.