Provider Demographics
NPI:1285766584
Name:CARITAS INC.
Entity type:Organization
Organization Name:CARITAS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE & OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:CIPOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:401-475-8009
Mailing Address - Street 1:166 PAWTUCKET AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-3811
Mailing Address - Country:US
Mailing Address - Phone:401-762-4421
Mailing Address - Fax:401-762-4867
Practice Address - Street 1:166 PAWTUCKET AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-3811
Practice Address - Country:US
Practice Address - Phone:401-722-4644
Practice Address - Fax:401-475-9533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI261QM0850X, 261QM0855X, 261QR0405X, 324500000X, 3245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI253474OtherMAGELLAN BEHAVIORAL HLTH
RI334543OtherVALUE OPTIONS
RI5079653OtherUNITED HEALTH
RI6997-7OtherBCBS RI (UB)
RI410887OtherBCBSRI BLUE CHIP (HCFA)
RI7891442OtherAETNA
RIA2833203OtherOXFORF HEALTH PLANS
RI1022660OtherBEACON HEALTH STRATEGIES
RI334543OtherEMPIRE NETWORK
RI409686OtherBCBSRI BLUE CHIP (UB)
RICH-04437Medicaid
RI30774-5OtherBCBSRI (HCFA)