642 Metacom Avenue Operations LLC
Skilled Nursing Facility in Warren, Rhode Island
1265683874- Practice location
- 642 Metacom Ave, Warren, RI 02885-2350
- Phone
- 401-245-2860
- Fax
- 401-245-0959
- Last updated
- January 22, 2024
642 Metacom Avenue Operations LLC is a healthcare organization based in Warren, RI. 642 Metacom Avenue Operations LLC practices in Warren, RI. The NPI Number for 642 Metacom Avenue Operations LLC is 1265683874 and holds a License No. LTC00733 (RI). The current practice location address for 642 Metacom Avenue Operations LLC is 642 Metacom Ave, Warren, RI 02885-2350 and can be reached out via phone at 401-245-2860 and via fax at 401-245-0959.
Provider Profile Details
- NPI Number
- 1265683874
- Provider Name
- 642 Metacom Avenue Operations LLC
- Provider Entity Type
- Organization
- Address
- 642 Metacom Ave, Warren, RI 02885-2350
- Phone Number
- 401-245-2860
- Fax Number
- 401-245-0959
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Michael T Berg · Assistant Secretary · 505-468-4742
- Other Names
- Warren Skilled Nursing And Rehabilitation (Doing Business As)
- Provider Enumeration Date
- October 2, 2008
- Last Update Date
- January 22, 2024
- Certification Date
- January 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 642 Metacom Ave
Warren, RI 02885-2350 - City
- Warren
- State
- Rhode Island
- Zip
- 02885-2350
- Phone Number
- 401-245-2860
- Fax Number
- 401-245-0959
Provider Business Mailing Address Details
- Address
- 642 Metacom Ave
Warren, RI 02885-2350 - City
- Warren
- State
- RI
- Zip
- 02885-2350
- Phone Number
- 401-245-2860
- Fax Number
- 401-245-0959
License Information
- License Number
- LTC00733
- License State
- RI
- 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 642 Metacom Avenue Operations LLC?
The NPI number of 642 Metacom Avenue Operations LLC is 1265683874. It was assigned on October 2, 2008 and is currently active in the NPPES registry.
What is the specialty of 642 Metacom Avenue Operations LLC?
642 Metacom Avenue Operations LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in RI under license number LTC00733.
Where does 642 Metacom Avenue Operations LLC practice?
The practice location is 642 Metacom Ave, Warren, RI 02885-2350. The office can be reached at 401-245-2860 (phone) or 401-245-0959 (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 1265683874 directly on the NPPES registry website.