WOODLAND CONVALESCENT CENTER INC (NPI# 1003897828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003897828 |
| Entity Type | Organization |
| Organization Name | WOODLAND CONVALESCENT CENTER INC |
| Practice Address |
70 Woodland Rd North Smithfield RI 02896-8204 |
| Practice Telephone | 4017650499 |
| Practice Fax Number | 4017651225 |
| Mailing Telephone | 4017650499 |
| Mailing Fax Number | 4017651225 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY-ANN ABBRUZZI (PRESIDENT/ADMINISTRATOR) |
| Authorized Official Telephone | 4017650499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | LTC00580 | RI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NSC | 0550090001 | 01 | |
| RI | 4105103 | 05 | |
| RI | BLUECHIP HEALTH PLAN | 412727 | 01 |
| RI | BLUE CROSS/BLUE SHIELD | 50742 | 01 |
| Street Address |
70 WOODLAND RD |
| City | NORTH SMITHFIELD |
| State | RI |
| Zip Code | 02896-8204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474042 | Arabia Songs Kopec | Nurse Practitioner | 63-65 Eddie Dowling Highway, North Smithfield, RI 02896 | 2020-07-09 |
| 1245712066 | Successful Solutions Counseling, Inc | Counselor | 117 Eddie Dowling Hwy., Unit Lla, North Smithfield, RI 02896 | 2018-08-29 |
| 1134612906 | Kellsy Ann Parenteau | Assistant Behavior Analyst | 12 Tarklin Pond Drive, North Smithfield, RI 02896 | 2018-06-07 |
| 1134667082 | Mary Greenlund | Physical Therapy Assistant | 261 Main Street Suite 101, North Smithfield, RI 02896 | 2017-02-10 |
| 1134251135 | David R Dubois | Family Medicine | 501 Great Road Unit 102, North Smithfield, RI 02896 | 2007-03-12 |
| 1184776080 | Linda S Young | Nurse Practitioner | 117 Eddie Dowling Hwy Unit B Lowr Level, North Smithfield, RI 02896 | 2007-01-18 |
| 1780748806 | North Smithfield Podiatry Inc | Podiatrist | 249 Eddie Dowling Highway, North Smithfield, RI 02896 | 2006-12-21 |
| 1245398684 | Medical Imaging Associates Inc | Radiology | 100 Eddie Dowling Highway, North Smithfield, RI 02896 | 2006-12-05 |
| 1881799070 | Gregory Paul Stepka | Dentist | 501 Great Road, Suite 207, North Smithfield, RI 02896 | 2006-09-13 |
| 1740296086 | James C Sullivan | Podiatrist | 249 Eddie Dowling Hwy, North Smithfield, RI 02896 | 2006-07-31 |
| Find all providers in zip 02896 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811038276 | Saint Antoine Residence | Skilled Nursing Facility | 10 Rhodes Ave, North Smithfield, RI 02896-6987 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952840381 | New England Premier Healthcare | Skilled Nursing Facility | 262 Poplar St, Woonsocket, RI 02895-3747 | 2017-02-17 |
| 1174986608 | Theodore J Hardgrove | Skilled Nursing Facility | 174 Woodward Rd, Providence, RI 02904-1720 | 2016-04-01 |
| 1891109336 | Senior Lifestyle Sakonnet Bay Limited Partnership | Skilled Nursing Facility | 1215 Main Rd, Tiverton, RI 02878-4246 | 2014-06-12 |
| 1477971893 | Ch-oak Hill LLC | Skilled Nursing Facility | 544 Pleasant St, Pawtucket, RI 02860-5726 | 2014-04-02 |
| 1144643586 | Nicole Morin | Skilled Nursing Facility | 180 Bailey St, Woonsocket, RI 02895-6302 | 2014-01-21 |
| 1093057143 | 100 Wampanoag Trail Operating Company, LLC | Skilled Nursing Facility | 100 Wampanoag Trl, Riverside, RI 02915-3736 | 2013-03-26 |
| 1831443779 | Athena Orchard View LLC | Skilled Nursing Facility | 135 Tripps Lane, East Providence, RI 02915-3017 | 2012-10-30 |
| 1558658963 | Coventry Skilled Nursing and Rehab | Skilled Nursing Facility | 10 Woodland Drive, Coventry, RI 02816 | 2011-07-06 |
| 1679874135 | 981 Kings Town Road Operating Company, LLC | Skilled Nursing Facility | 55 Scallop Shell Way, Peace Dale, RI 02879-3045 | 2010-11-15 |
| 1750533527 | Angela Niles | Skilled Nursing Facility | 6 Luther St, Johnston, RI 02919-6129 | 2008-10-10 |
| Find all providers with the same taxonomy | ||||
| City | NORTH SMITHFIELD |
| Zip Code | 02896 |
Please comment or provide details below to improve the information on WOODLAND CONVALESCENT CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.