ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (NPI# 1285779116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285779116 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND |
| Other Organization Name | SOUTHERN NEW ENGLAND REHABILITION |
| Practice Address |
200 High Service Ave N Providence RI 02904-5113 |
| Mailing Address |
200 High Service Ave North Providence RI 02904-5113 |
| Practice Telephone | 4014563000 |
| Practice Fax Number | 4014566742 |
| Mailing Telephone | 4014562525 |
| Mailing Fax Number | 4014566742 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2013-12-18 |
| Authorized Official Name | KENNETH BELCHER (PRESIDENT) |
| Authorized Official Telephone | 4014562000 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. JOSEPH HEALTH SERVICES OF RI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225400000X | Rehabilitation Practitioner | HOS00110 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 282N00000X | General Acute Care Hospital | HOS00110 | RI | Hospitals |
| Y | 273Y00000X | Rehabilitation Unit | HOS00110 | RI | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9006651 | 05 |
| Other Name | Type Code |
|---|---|
| SOUTHERN NEW ENGLAND REHABILITION | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487784997 | St. Joseph Health Services of Rhode Island | Skilled Nursing Facility | 21 Peace St, Providence, RI 02907-1510 | 2007-03-06 |
| 1356478002 | St. Joseph Health Services of Rhode Island | Obstetrics & Gynecology | 21 Peace St, Providence, RI 02907-1510 | 2007-02-28 |
| 1326122557 | St. Joseph Health Services of Rhode Island | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-10-24 |
| 1578581443 | St. Joseph Health Services of Rhode Island | Dentist | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-07-18 |
| Street Address |
200 HIGH SERVICE AVE |
| City | N PROVIDENCE |
| State | RI |
| Zip Code | 02904-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821656034 | Prospect Chartercare Sjhsri, LLC | Internal Medicine | 200 High Service Ave, N Providence, RI 02904-5113 | 2019-06-03 |
| 1770919375 | Karen Dean | Dietitian, Registered | 200 High Service Ave, N Providence, RI 02904-5113 | 2013-09-16 |
| 1841432168 | Rhoda E Mowry | Social Worker | 200 High Service Ave, 1st. Fl Marion Hall, N Providence, RI 02904-5113 | 2009-04-01 |
| 1598925364 | Srisakula Sangchanintra | Nurse Anesthetist, Certified Registered | 200 High Service Ave, N Providence, RI 02904-5113 | 2008-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205251204 | Prospect Chartercare Sjhsri, LLC | Rehabilitation Unit | 200 High Service Ave, North Providence, RI 02904-5113 | 2014-02-27 |
| 1407011133 | Rhode Island Hospital | Rehabilitation Unit | 593 Eddy St, Providence, RI 02903-4923 | 2008-07-22 |
| 1295885622 | Memorial Hospital | Rehabilitation Unit | 111 Brewster St, Pawtucket, RI 02860-4400 | 2007-01-10 |
| 1306922521 | Newport Hospital | Rehabilitation Unit | 11 Friendship St, Newport, RI 02840-2209 | 2006-10-31 |
| 1578652434 | Newport Hospital | Rehabilitation Unit | 11 Friendship St, Newport, RI 02840-2209 | 2006-10-11 |
| 1023017944 | Kent County Memorial Hospital | Rehabilitation Unit | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2005-07-21 |
| City | N PROVIDENCE |
| Zip Code | 02904 |
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| 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.