MEDICARE: PEERPOINT RECOVERY RESIDENCES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	172V00000X	Community Health Worker
4	1041C0700X	Clinical Social Worker
5	175T00000X	Peer Specialist
6	324500000X	Substance Abuse Rehabilitation Facility
7	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1083473425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEERPOINT RECOVERY RESIDENCES

Provider Business Mailing Address
First Line	:	806 GREENVILLE AVE
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-1305
Country	:	US
Telephone Number	:	401-516-1314
Fax Number	:

Provider Business Practice Location Address
First Line	:	806 GREENVILLE AVE
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-1305
Country	:	US
Telephone Number	:	401-516-1314
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROOSEVELT DALE
Credential	:
Telephone Number	:	401-516-1314

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	01/23/2026

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