Healthcare Provider Details

I. General information

NPI: 1245456532
Provider Name (Legal Business Name): WESTBAY COMMUNITY ACTION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

487 JEFFERSON BLVD
WARWICK RI
02886-1454
US

IV. Provider business mailing address

224 BUTTONWOODS AVE
WARWICK RI
02886-7541
US

V. Phone/Fax

Practice location:
  • Phone: 401-732-4660
  • Fax: 401-739-2761
Mailing address:
  • Phone: 401-921-2391
  • Fax: 401-732-6965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number251B00000X
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number251K00000X
License Number StateRI

VIII. Authorized Official

Name: HEATHER BRAGA
Title or Position: CFO
Credential:
Phone: 401-921-2391