Prospect Chartercare Elmhurst, LLC
Skilled Nursing Facility in Providence, Rhode Island
1457776452- Practice location
- 50 Maude St, Providence, RI 02908-4325
- Phone
- 401-456-2623
- Fax
- 401-456-6862
- Last updated
- January 15, 2021
Prospect Chartercare Elmhurst, LLC is a healthcare organization based in Providence, RI. Prospect Chartercare Elmhurst, LLC practices in Providence, RI. The NPI Number for Prospect Chartercare Elmhurst, LLC is 1457776452 and holds a License No. LTC00663 (RI). The current practice location address for Prospect Chartercare Elmhurst, LLC is 50 Maude St, Providence, RI 02908-4325 and can be reached out via phone at 401-456-2623 and via fax at 401-456-6862.
Provider Profile Details
- NPI Number
- 1457776452
- Provider Name
- Prospect Chartercare Elmhurst, LLC
- Provider Entity Type
- Organization
- Address
- 50 Maude St, Providence, RI 02908-4325
- Phone Number
- 401-456-2623
- Fax Number
- 401-456-6862
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Robert Jon Elders · Secretary · 714-788-1249
- Other Names
- Elmhurst Extended Care Facility (Doing Business As)
- Provider Enumeration Date
- February 27, 2014
- Last Update Date
- January 15, 2021
- Certification Date
- January 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Maude St
Providence, RI 02908-4325 - City
- Providence
- State
- Rhode Island
- Zip
- 02908-4325
- Phone Number
- 401-456-2623
- Fax Number
- 401-456-6862
Provider Business Mailing Address Details
- Address
- 50 Maude St
Providence, RI 02908-4325 - City
- Providence
- State
- RI
- Zip
- 02908-4325
- Phone Number
- 401-456-2623
- Fax Number
- 401-456-6862
License Information
- License Number
- LTC00663
- 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 Prospect Chartercare Elmhurst, LLC?
The NPI number of Prospect Chartercare Elmhurst, LLC is 1457776452. It was assigned on February 27, 2014 and is currently active in the NPPES registry.
What is the specialty of Prospect Chartercare Elmhurst, LLC?
Prospect Chartercare Elmhurst, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in RI under license number LTC00663.
Where does Prospect Chartercare Elmhurst, LLC practice?
The practice location is 50 Maude St, Providence, RI 02908-4325. The office can be reached at 401-456-2623 (phone) or 401-456-6862 (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 1457776452 directly on the NPPES registry website.