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BLUEBERRY LANE GROUP HOME
NPI 1841335510
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in N Kingstown, RI

Active since February 21, 2007
45 BLUEBERRY LN, N KINGSTOWN, RI 02852(401) 885-6488 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blueberry Lane Group Home NPPES

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

BLUEBERRY LANE GROUP HOME (NPI 1841335510) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in N Kingstown, 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

NPI1841335510
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBLUEBERRY LANE GROUP HOME
Location Address45 BLUEBERRY LNN Kingstown, RI 02852-1949
Mailing Address6 Harrington RdCranston, RI 02920-3080 · (401) 462-2659
Phone(401) 885-6488
Organization SubpartNo
Authorized OfficialEllen R NelsonDirector · (401) 462-6001
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1841335510 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 · 191
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
45 BLUEBERRY LN, N Kingstown, RI 02852
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Other Identifiers 1

MedicaidLC02099RI

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 Blueberry Lane Group Home's NPI number?

The NPI number for Blueberry Lane Group Home is 1841335510. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Blueberry Lane Group Home located?

Blueberry Lane Group Home is located at 45 Blueberry Ln, N Kingstown, RI 02852. The listed phone number is (401) 885-6488.

What is Blueberry Lane 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 Blueberry Lane 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.