Kg Ranch Road Group Home

LBN: Kg Ranch Road Group Home
Kg Ranch Road Group Home is an health care organization with primary practice located at 61 K G Ranch Rd , Hope Valley RI 02832-2909. 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. Kg Ranch Road Group Home can be contacted via phone (401) 539-2613, or through Nelson, Ellen R via phone (401) 462-6001.

Contact Information

Primary practice address
61 K G Ranch Rd Hope Valley RI 02832-2909
Phone: (401) 539-2613
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Ellen R
Phone: (401) 462-6001

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 236 Rhode Island

Profile Details

NPI number 1578608931
LBN Legal business name Kg Ranch Road 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 5 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 1578608931 NPPES
Rhode Island MEDICAID LC02468

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