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Moonstone Beach Rd Group Home

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wakefield, RI · enumerated 2007 · authorized official Ellen Nelson, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154466522

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Registry record

Entity type Organization (Type 2)
Legal business name Moonstone Beach Rd Group Home
Practice address 446 Moonstone Beach Rd, Wakefield, RI, 02879
Phone (401) 782-8480
Enumeration date Feb 21, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License 26 (RI) Primary

Authorized official

Name Ellen Nelson
Title Director
Phone (401) 462-6001

Other identifiers

Identifier Type State Issuer
MB04412 Medicaid RI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Moonstone Beach Rd Group Home?
The NPI for Moonstone Beach Rd Group Home is 1154466522, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Moonstone Beach Rd Group Home?
NPPES lists Ellen Nelson (Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.