Thank you for your interest in joining the provider network of Neighborhood Health Plan of Rhode Island (Neighborhood). To request participation in the Neighborhood network as a new contracted entity, please send a fax to (401) 709-7066 that includes the following information:
- Provider name
- Provider specialty
- Provider Tax ID number
- Provider NPI
- Provider primary address
- Contact name and title
- Contact email address
- Contact phone number
- Contact fax number
- W9
If you are requesting participation as a primary care provider, please include the Primary Care Participation Questionnaire (PDF) with your fax.
Behavioral healthcare providers wishing to care for Neighborhood members need to contact Neighborhood’s behavioral health vendor,Optum,for more information on joining their provider network.
If you are joining an existing group, please have your group administrator contact their Neighborhood provider relations representative for assistance.
Adult Day Care Provider
- Neighborhood Provider Attestation – Adult Day Care
- State of Rhode Island Adult Day Care Certification Standards
Assisted Living Provider
- Neighborhood Provider Attestation – Assisted Living
- State of Rhode Island Assisted Living Certification Standards
Cedar Family Centers
Please send or fax your request to:
Provider Network Management
Neighborhood Health Plan of Rhode Island
910 Douglas Pike
Smithfield RI 02917
Phone: 1-800-963-1001
Fax: 1-401-709-7066
We will contact you after reviewing your request.