Src Providence, LLC
Skilled Nursing Facility in Providence, Rhode Island
1336513811- Practice location
- 353 Blackstone Blvd, Providence, RI 02906-4936
- Phone
- 401-273-6565
- Fax
- —
- Last updated
- November 20, 2015
Src Providence, LLC is a healthcare organization based in Providence, RI. Src Providence, LLC practices in Providence, RI. The NPI Number for Src Providence, LLC is 1336513811. The current practice location address for Src Providence, LLC is 353 Blackstone Blvd, Providence, RI 02906-4936 and can be reached out via phone at 401-273-6565.
Provider Profile Details
- NPI Number
- 1336513811
- Provider Name
- Src Providence, LLC
- Provider Entity Type
- Organization
- Address
- 353 Blackstone Blvd, Providence, RI 02906-4936
- Phone Number
- 401-273-6565
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Tamilyn Levin · Chief Financial Officer · 781-707-9510
- Provider Enumeration Date
- November 20, 2015
- Last Update Date
- November 20, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 353 Blackstone Blvd
Providence, RI 02906-4936 - City
- Providence
- State
- Rhode Island
- Zip
- 02906-4936
- Phone Number
- 401-273-6565
Provider Business Mailing Address Details
- Address
- 63 Kendrick St
Needham, MA 02494-2708 - City
- Needham
- State
- MA
- Zip
- 02494-2708
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 Src Providence, LLC?
The NPI number of Src Providence, LLC is 1336513811. It was assigned on November 20, 2015 and is currently active in the NPPES registry.
What is the specialty of Src Providence, LLC?
Src Providence, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does Src Providence, LLC practice?
The practice location is 353 Blackstone Blvd, Providence, RI 02906-4936. The office can be reached at 401-273-6565 (phone).
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 1336513811 directly on the NPPES registry website.