MEDICARE: THE ARC OF BLACKSTONE VALLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility	275	RI

General Provider Information

NPI Number	:	1508981143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ARC OF BLACKSTONE VALLEY

Provider Business Mailing Address
First Line	:	115 MANTON ST
Second Line	:
City	:	PAWTUCKET
State	:	RI
Zip	:	02861-4332
Country	:	US
Telephone Number	:	401-727-0150
Fax Number	:	401-727-1545

Provider Business Practice Location Address
First Line	:	125 COLUMBUS AVE
Second Line	:
City	:	PAWTUCKET
State	:	RI
Zip	:	02860-5550
Country	:	US
Telephone Number	:	401-727-0150
Fax Number	:	401-727-1545

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	KATHERINE S HUNT
Credential	:
Telephone Number	:	401-727-0150

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1437902236 — HECMY A JOSE MA, PC
Practice Location Address:

174 ARMISTICE BLVD
PAWTUCKET, RI
02860-3280

Practice Phone: 401-889-5787
Practice Fax:

1598552002 — RACHEL BRADLEY LCSW
Practice Location Address:

200 MAIN ST
PAWTUCKET, RI
02860-4131

Practice Phone: 401-728-1800
Practice Fax:

1194457663 — NICOLE A. CURRERI DPM
Practice Location Address:

649 EAST AVE
PAWTUCKET, RI
02860-6157

Practice Phone: 401-354-1384
Practice Fax:

1639881402 — SAMANTHA ROSE POLIQUIN LICSW
Practice Location Address:

200 MAIN ST
PAWTUCKET, RI
02860-4131

Practice Phone: 401-728-1800
Practice Fax:

1366843351 — ANA AYBAR LCSW
Practice Location Address:

200 MAIN ST STE 210
PAWTUCKET, RI
02860-4119

Practice Phone: 401-728-1800
Practice Fax:

1235087651 — TAYLA ALEXANDRA LOMBARI
Practice Location Address:

301 CONCORD ST , UNIT 301
PAWTUCKET, RI
02860

Practice Phone: 800-679-3609
Practice Fax: 718-819-1801

Directions to “THE ARC OF BLACKSTONE VALLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.