100 Wampanoag Trail Operating Company, LLC
Skilled Nursing Facility in Riverside, Rhode Island
1093057143- Practice location
- 100 Wampanoag Trl, Riverside, RI 02915-3736
- Phone
- 401-438-4275
- Fax
- 401-438-8093
- Last updated
- January 19, 2023
100 Wampanoag Trail Operating Company, LLC is a healthcare organization based in Riverside, RI. 100 Wampanoag Trail Operating Company, LLC practices in Riverside, RI. The NPI Number for 100 Wampanoag Trail Operating Company, LLC is 1093057143. The current practice location address for 100 Wampanoag Trail Operating Company, LLC is 100 Wampanoag Trl, Riverside, RI 02915-3736 and can be reached out via phone at 401-438-4275 and via fax at 401-438-8093.
Provider Profile Details
- NPI Number
- 1093057143
- Provider Name
- 100 Wampanoag Trail Operating Company, LLC
- Provider Entity Type
- Organization
- Address
- 100 Wampanoag Trl, Riverside, RI 02915-3736
- Phone Number
- 401-438-4275
- Fax Number
- 401-438-8093
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Dr. Jeffrey Rubin · Co-Chief Executive Officer · 716-817-5075
- Other Names
- Elderwood At Riverside (Doing Business As)
- Provider Enumeration Date
- March 26, 2013
- Last Update Date
- January 19, 2023
- Certification Date
- January 19, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Wampanoag Trl
Riverside, RI 02915-3736 - City
- Riverside
- State
- Rhode Island
- Zip
- 02915-3736
- Phone Number
- 401-438-4275
- Fax Number
- 401-438-8093
Provider Business Mailing Address Details
- Address
- 500 Seneca St Ste 100
Buffalo, NY 14204-1963 - City
- Buffalo
- State
- NY
- Zip
- 14204-1963
- Phone Number
- 716-633-3900
- Fax Number
- 646-924-0502
License Information
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 100 Wampanoag Trail Operating Company, LLC?
The NPI number of 100 Wampanoag Trail Operating Company, LLC is 1093057143. It was assigned on March 26, 2013 and is currently active in the NPPES registry.
What is the specialty of 100 Wampanoag Trail Operating Company, LLC?
100 Wampanoag Trail Operating Company, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 100 Wampanoag Trail Operating Company, LLC practice?
The practice location is 100 Wampanoag Trl, Riverside, RI 02915-3736. The office can be reached at 401-438-4275 (phone) or 401-438-8093 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093057143 directly on the NPPES registry website.