Healthcare Provider Details

I. General information

NPI: 1710852165
Provider Name (Legal Business Name): ACCESS AND CARE RECOVERY HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

787 MANTON AVE
PROVIDENCE RI
02909-5616
US

IV. Provider business mailing address

787 MANTON AVE
PROVIDENCE RI
02909-5616
US

V. Phone/Fax

Practice location:
  • Phone: 401-659-4216
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANN CLAUDE
Title or Position: DIRECTOR/ FOUNDER
Credential:
Phone: 617-606-1711