South Bay Manor
Assisted Living Facility in South Kingstown, Rhode Island
1881840932- Practice location
- 1959 Kingstown Road, South Bay Retirement Living, South Kingstown, RI 02879-1608
- Phone
- 401-789-5880
- Fax
- 401-783-2880
- Last updated
- June 3, 2015
South Bay Manor is a healthcare organization based in South Kingstown, RI. South Bay Manor practices in South Kingstown, RI. The NPI Number for South Bay Manor is 1881840932 and holds a License No. LTC00735 (RI). The current practice location address for South Bay Manor is 1959 Kingstown Road, South Bay Retirement Living, South Kingstown, RI 02879-1608 and can be reached out via phone at 401-789-5880 and via fax at 401-783-2880.
Provider Profile Details
- NPI Number
- 1881840932
- Provider Name
- South Bay Manor
- Provider Entity Type
- Organization
- Address
- 1959 Kingstown Road, South Bay Retirement Living, South Kingstown, RI 02879-1608
- Phone Number
- 401-789-5880
- Fax Number
- 401-783-2880
- Primary Taxonomy
- Assisted Living Facility · 310400000X
- Organization Subpart
- No
- Authorized Official
- Mark Ohlendorf · Chief Financial Officer (Cfo) · 414-918-5403
- Provider Enumeration Date
- August 8, 2008
- Last Update Date
- June 3, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1959 Kingstown Road
South Bay Retirement Living
South Kingstown, RI 02879-1608 - City
- South Kingstown
- State
- Rhode Island
- Zip
- 02879-1608
- Phone Number
- 401-789-5880
- Fax Number
- 401-783-2880
Provider Business Mailing Address Details
- Address
- 6737 W Washington St
Suite 2300,
Milwaukee, WI 53214 - City
- Milwaukee
- State
- WI
- Zip
- 53214
- Phone Number
- 401-789-5880
- Fax Number
- 401-783-2880
License Information
- License Number (1)
- LTC00735
- License State (1)
- RI
- Taxonomy (1)
- Nursing Facility/Intermediate Care Facility · 313M00000X
- License State (2)
- RI
- Taxonomy (2)
- Assisted Living Facility · 310400000X · 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 South Bay Manor?
The NPI number of South Bay Manor is 1881840932. It was assigned on August 8, 2008 and is currently active in the NPPES registry.
What is the specialty of South Bay Manor?
South Bay Manor is registered under the primary taxonomy Assisted Living Facility (code 310400000X), licensed in RI under license number LTC00735.
Where does South Bay Manor practice?
The practice location is 1959 Kingstown Road, South Bay Retirement Living, South Kingstown, RI 02879-1608. The office can be reached at 401-789-5880 (phone) or 401-783-2880 (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 1881840932 directly on the NPPES registry website.