OrganizationActive
Children'S Shelter of Blackstone Valley, Inc.
NPI 1124152392 · Emotionally Disturbed Childrens' Residential Treatment Facility · Pawtucket, RI
Provider details
- NPI number
- 1124152392
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Eileen Hernandez, Executive Director(401) 722-4626
- License
- 40 (RI)
Specialties & taxonomies
Residential Treatment 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
15 Gates St
Pawtucket, RI 02861-3225
Phone: (401) 722-4626
Fax: (401) 727-2967
Street-level locationGet directions
Mailing address
15 Gates Street
Pawtucket, RI 02861
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2007-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.