OrganizationActive
Greater Providence Chapter,riarc
NPI 1124144928 · Intellectual Disabilities Intermediate Care Facility · Providence, RI
Provider details
- NPI number
- 1124144928
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Costa, Controller(401) 353-6990
- License
- 91 (RI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
40 Leander St
Providence, RI 02909-5636
Phone: (401) 272-3162
Fax: (401) 353-0290
Street-level locationGet directions
Mailing address
220 Woonasquatucket Ave
North Providence, RI 02911-3196
Other names (DBA / former)
- Doing business as
- John E. Fogarty Center
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.