MEDICARE: THE RHODY HAVEN

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	251S00000X	Community/Behavioral Health Agency
3	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1568326197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE RHODY HAVEN

Provider Business Mailing Address
First Line	:	435 LAUREL HILL AVE
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02920-7644
Country	:	US
Telephone Number	:	401-376-7246
Fax Number	:

Provider Business Practice Location Address
First Line	:	435 LAUREL HILL AVE
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02920-7644
Country	:	US
Telephone Number	:	401-376-7246
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER AND EXECUTIVE DIRECTOR
Name	:	JAZLYN J MITCHELL
Credential	:	LCSW
Telephone Number	:	401-376-7246

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “THE RHODY HAVEN ” Practice Location

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