Active NPIOrganization

Shady Acres Operations Assoc LLC

Skilled Nursing Facility in West Kingston, Rhode Island

NPI Number1366997082
Practice location
415 Gardner RD, West Kingston, RI 02892-1047
Fax
401-294-1050
Last updated
October 5, 2016

Shady Acres Operations Assoc LLC is a healthcare organization based in West Kingston, RI. Shady Acres Operations Assoc LLC practices in West Kingston, RI. The NPI Number for Shady Acres Operations Assoc LLC is 1366997082 and holds a License No. LTC00804 (RI). The current practice location address for Shady Acres Operations Assoc LLC 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
1366997082
Provider Name
Shady Acres Operations Assoc LLC
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
Kenneth Rozenberg · Member · 718-931-9700
Other Names
Kingston Center For Rehabilitation And Health Care (Doing Business As)
Provider Enumeration Date
August 23, 2016
Last Update Date
October 5, 2016
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
4770 White Plains RD
Bronx, NY 10470
City
Bronx
State
NY
Zip
10470
Phone Number
718-931-9700

License Information

License Number
LTC00804
License State
RI
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Skilled Nursing Facility providers near West Kingston, RI

View all Skilled Nursing Facility providers in West Kingston →

Frequently Asked Questions

What is the NPI number of Shady Acres Operations Assoc LLC?

The NPI number of Shady Acres Operations Assoc LLC is 1366997082. It was assigned on August 23, 2016 and is currently active in the NPPES registry.

What is the specialty of Shady Acres Operations Assoc LLC?

Shady Acres Operations Assoc LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in RI under license number LTC00804.

Where does Shady Acres Operations Assoc LLC 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 1366997082 directly on the NPPES registry website.

Browse related providers