Blueberry Lane Group Home
LBN: Blueberry Lane Group Home
Blueberry Lane Group Home is an health care organization with primary practice located at 45 Blueberry Ln , N Kingstown RI 02852-1949. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Blueberry Lane Group Home can be contacted via phone (401) 885-6488, or through Nelson, Ellen R via phone (401) 462-6001.
Contact Information
Primary practice address
45 Blueberry Ln
N Kingstown RI 02852-1949
Phone: (401) 885-6488
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 191 | Rhode Island |
Profile Details
| NPI number | 1841335510 |
|---|---|
| LBN Legal business name | Blueberry Lane Group Home |
| DBA Doing business as | |
| Authorized official | Nelson, Ellen R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841335510 | NPPES |
| Rhode Island | MEDICAID | LC02099 |
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