MEDICARE: CARPENTER HALL LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	323P00000X	Psychiatric Residential Treatment Facility
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
3	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1295494227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARPENTER HALL LLC

Provider Business Mailing Address
First Line	:	251 MAIN ST
Second Line	:
City	:	EXETER
State	:	RI
Zip	:	02822-3531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6946 POST RD STE 300
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-7613
Country	:	US
Telephone Number	:	877-262-7803
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KRISTI PROVUNCHER
Credential	:
Telephone Number	:	401-477-0800

Provider Enumeration Date	:	12/17/2021
Last Update Date	:	01/27/2026

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Directions to “CARPENTER HALL LLC ” Practice Location

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