Shannock Road Group Home
NPI 1912032079 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wakefield, RI
Shannock Road Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Wakefield, RI (NPI 1912032079).
Provider details
- NPI number
- 1912032079
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ellen Nelson, Director(401) 462-6001
- License
- 15 (RI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 15 (RI)
Residential Treatment Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2020-08-22
Frequently asked questions
- What is Shannock Road Group Home's NPI number?
- Shannock Road Group Home's National Provider Identifier (NPI) is 1912032079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannock Road Group Home?
- Shannock Road Group Home is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Shannock Road Group Home located?
- Shannock Road Group Home's practice location on file with NPPES is 794 Shannock Rd, Wakefield, RI 02879-4756.
- What is Shannock Road Group Home's phone number?
- The practice phone number listed in the NPPES registry for Shannock Road Group Home is (401) 462-7829.
- Who is the authorized official for Shannock Road Group Home?
- The authorized official listed on Shannock Road Group Home's NPPES record is Ellen Nelson, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannock Road Group Home's NPI active?
- Yes — Shannock Road Group Home's NPI (1912032079) is active in the NPPES registry as of the last update on 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.