John E. Fogarty Center

LBN: Greater Providence Chapter,Riarc
John E. Fogarty Center is an health care organization with primary practice located at 212 Leah St , Providence RI 02908-3906. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Greater Providence Chapter,Riarc can be contacted via phone (401) 751-0347, or through Costa, John via phone (401) 353-6990.

Contact Information

Primary practice address
212 Leah St Providence RI 02908-3906
Phone: (401) 751-0347
Fax: (401) 353-0290
Website:
Map and Directions
Authorized official contact:
Name: Costa, John BS,CPP
Phone: (401) 353-6990

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 249 Rhode Island

Profile Details

NPI number 1063538502
LBN Legal business name Greater Providence Chapter,Riarc
DBA Doing business as John E. Fogarty Center
Authorized official Costa, John BS,CPP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063538502 NPPES
Rhode Island MEDICAID JF02822

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