Active NPIOrganization

Shady Acres, INC.

Skilled Nursing Facility in West Kingston, Rhode Island

NPI Number1346234135
Practice location
415 Gardner RD, West Kingston, RI 02892-1047
Fax
401-294-1050
Last updated
September 10, 2014

Shady Acres, INC. is a healthcare organization based in West Kingston, RI. Shady Acres, INC. practices in West Kingston, RI. The NPI Number for Shady Acres, INC. is 1346234135 and holds a License No. 608 (RI). The current practice location address for Shady Acres, INC. is 415 Gardner RD, West Kingston, RI 02892-1047 and can be reached out via phone at 401-295-8520 and via fax at 401-294-1050.

Provider Profile Details

NPI Number
1346234135
Provider Name
Shady Acres, INC.
Provider Entity Type
Organization
Address
415 Gardner RD, West Kingston, RI 02892-1047
Phone Number
401-295-8520
Fax Number
401-294-1050
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Mr. Charles William Miga · President/Administrator · 401-295-8540
Provider Enumeration Date
September 7, 2005
Last Update Date
September 10, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
415 Gardner RD
West Kingston, RI 02892-1047
Zip
02892-1047
Phone Number
401-295-8520
Fax Number
401-294-1050
West Kingston, RI 02892Get directions →

Provider Business Mailing Address Details

Address
415 Gardner RD
West Kingston, RI 02892-1047
City
West Kingston
State
RI
Zip
02892-1047
Phone Number
401-295-8520
Fax Number
401-294-1050

License Information

License Number (1)
608
License State (1)
RI
License Number (2)
608
License State (2)
RI
Taxonomy (2)
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Shady Acres, INC.?

The NPI number of Shady Acres, INC. is 1346234135. It was assigned on September 7, 2005 and is currently active in the NPPES registry.

What is the specialty of Shady Acres, INC.?

Shady Acres, INC. is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in RI under license number 608.

Where does Shady Acres, INC. practice?

The practice location is 415 Gardner RD, West Kingston, RI 02892-1047. The office can be reached at 401-295-8520 (phone) or 401-294-1050 (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 1346234135 directly on the NPPES registry website.

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