Organization
AVATAR RESIDENTIAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A. ELLIS (VICE PRESIDENT)
(401) 826-7500
Entity
Organization
Contact information
Practice address
15 LILLIAN LN, CRANSTON, RI 02920-6200
(401) 942-0720
Mailing address
33 COLLEGE HILL RD, BUILDING 33, WARWICK, RI 02886-2776
(401) 826-7500
(401) 826-7503
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
254
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA25880
PROVIDER NUMBER
RI
Enumeration date
03/26/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us