OrganizationActive
State of Rhode Island and Providence Plantations
NPI 1164567202 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · North Smithfield, RI
Provider details
- NPI number
- 1164567202
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jennifer White, Deputy Cfo(401) 462-1343
- License
- 321
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 321
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
80 Mowry Avenue
North Smithfield, RI 02896-7110
Phone: (401) 769-6681
Street-level locationGet directions
Mailing address
6 Harrington Rd
Cranston, RI 02920-3080
Other names (DBA / former)
- Doing business as
- Mowry Group Home
- Doing business as
- Mowry Group Home
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2019-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.