100 WAMPANOAG TRAIL OPERATING COMPANY, LLC


Address: 100 Wampanoag Trl, Riverside, RI 02915-3736
Phone: 4014384275

100 WAMPANOAG TRAIL OPERATING COMPANY, LLC (NPI# 1093057143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093057143
Entity Type Organization
Organization Name 100 WAMPANOAG TRAIL OPERATING COMPANY, LLC
Other Organization Name ELDERWOOD AT RIVERSIDE
Practice Address 100 Wampanoag Trl
Riverside
RI 02915-3736
Mailing Address 641 Lexington Ave
31st Floor
New York
NY 10022-4503
Practice Telephone 4014384275
Practice Fax Number 4014388093
Mailing Telephone 2128027609
Mailing Fax Number 6469240502
Enumeration Date 2013-03-26
Last Update Date 2016-03-02
Authorized Official Name MR. GREGORY B HOOK (CHIEF COMPLIANCE OFFICER)
Authorized Official Telephone 2128027609
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Elderwood at Riverside Doing Business As Name - Organization

Office Location

Street Address 100 WAMPANOAG TRL
City RIVERSIDE
State RI
Zip Code 02915-3736

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154956969 Island Health and Rehab LLC Skilled Nursing Facility 100 Wampanoag Trl, Riverside, RI 02915-3736 2020-03-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881101335 Brown Medicine Clinic/Center 62-68 Amaral Street, East Providence, RI 02915 2018-01-05
1093245391 Robyn Lee Cranson Pharmacist 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 2017-06-19
1548703622 Rebecca Leigh Bejma Registered Nurse 100 Bullocks Ave, East Providence, RI 02915 2016-11-22
1568833408 Riverside Smiles Theodore I Goldberg, Dmd PC & Associates Dentist 250 Wampanoag Trail Suite 103, Riverside, RI 02915 2015-10-19
1003165796 Sandra Cairo Registered Nurse 125 Bayview Ave, Riverside, RI 02915 2012-09-10
1487916136 East Bay Community Action Program Peer Specialist 100 Bullocks Point, Riverside, RI 02915 2012-06-08
1497041453 Bethany Marie Goldberg Nurse Practitioner 38 Amaral Street, Riverside, RI 02915 2011-06-28
1790078947 Matthew Lynch Internal Medicine 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 2011-05-20
1679866206 Jill Stone Occupational Therapist 57 Euclid Ave, East Providence, RI 02915 2011-05-16
1770884462 Kristin F. Cadieux Nurse Practitioner 375 Wampanoag Trl Ste 102, Riverside, RI 02915 2010-11-11
Find all providers in zip 02915

Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336700772 Riverside Snf, LLC Skilled Nursing Facility 17040 Arnold Dr, Riverside, CA 92518-2813 2019-06-26
1497168496 Riverside Villa Skilled Nursing Facility 3495 Jefferson St, Riverside, CA 92504-3519 2014-06-06
1700186590 Community Care Rehab Center LLC Skilled Nursing Facility 4070 Jurapa Ave, Riverside, CA 92506-2234 2010-10-26
1366643603 Mutual Care Management, Inc. Skilled Nursing Facility 9025 Colorado Ave, Riverside, CA 92503-2157 2007-05-31
1497972624 Riverside Nursing and Rehabilitation Center LLC Skilled Nursing Facility 4700 Nw Cliffview Drive, Riverside, MO 64150-1237 2007-04-19
1700912458 Hattie Ide Chaffee Nursing Home Inc Skilled Nursing Facility 200 Wampanoag Trl, Riverside, RI 02915-2206 2007-02-26
1588734164 Vista Pacifica Enterprises Inc. Skilled Nursing Facility 3674 Pacific Ave, Riverside, CA 92509-1948 2006-11-09
1730275769 Trinity Oakland, Inc Skilled Nursing Facility 8487 Magnolia Ave, Riverside, CA 92504-3222 2006-10-05
1902902828 F. & B. Health Care Skilled Nursing Facility 8171 Magnolia, Riverside, CA 92504 2006-09-16
1245343334 Wilmon Corporation Skilled Nursing Facility 8951 Granite Hill Dr, Riverside, CA 92509-1104 2006-08-16
Find all providers in RIVERSIDE

Competitor

Search similar providers

City RIVERSIDE
Zip Code 02915

Improve Information

Please comment or provide details below to improve the information on 100 WAMPANOAG TRAIL OPERATING COMPANY, LLC.

Dataset Information

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.

Trending Searches