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Rhode Island Medicaid lookup

One provider matched this Medicaid ID.

Rhode Island Medicaid ID LC02459 resolves to a single NPI record. Open the full profile for complete detail.

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BR
NPI · 1821133505 · Active
Broadrock Road Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Peace Dale, Rhode Island
Active
NPI
1821133505
Medicaid (RI)
LC02459
Taxonomy
320900000X
State
Rhode Island

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

ReferenceAbout state Medicaid identifiers

State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.