PROSPECT CHARTERCARE SJHSRI, LLC (NPI# 1396160396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396160396 |
| Entity Type | Organization |
| Organization Name | PROSPECT CHARTERCARE SJHSRI, LLC |
| Other Organization Name | ST. JOSEPH HEALTH CENTER |
| Practice Address |
200 High Service Ave North Providence RI 02904-5113 |
| Practice Telephone | 4014563000 |
| Practice Fax Number | 4014563028 |
| Mailing Telephone | 4014563000 |
| Mailing Fax Number | 4014563028 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | HOS00110 | RI | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 41S0005 | 05 |
| Other Name | Type Code |
|---|---|
| St. Joseph Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821656034 | Prospect Chartercare Sjhsri, LLC | Internal Medicine | 200 High Service Ave, N Providence, RI 02904-5113 | 2019-06-03 |
| 1639584717 | Prospect Chartercare Sjhsri, LLC | Dentist | 21 Peace St, Providence, RI 02907-1510 | 2014-06-26 |
| 1205251204 | Prospect Chartercare Sjhsri, LLC | Rehabilitation Unit | 200 High Service Ave, North Providence, RI 02904-5113 | 2014-02-27 |
| 1871918870 | Prospect Chartercare Sjhsri, LLC | General Acute Care Hospital | 200 High Service Ave, North Providence, RI 02904-5113 | 2014-02-27 |
| 1578988572 | Prospect Chartercare Sjhsri, LLC | Nutritionist | 200 High Service Ave, North Providence, RI 02904-5113 | 2014-02-27 |
| 1588089759 | Prospect Chartercare Sjhsri, LLC | Public Health or Welfare | 200 High Service Ave, North Providence, RI 02904-5113 | 2014-02-25 |
| Street Address |
200 HIGH SERVICE AVE |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 02904-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179607 | James D Sullivan | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2005-10-24 |
| 1023628385 | Jona Volcy | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-08-03 |
| 1437770625 | Shana Rose Libassi | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-04-29 |
| 1447886171 | Kaylee Joy Taillon | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-03-13 |
| 1528619772 | Christine Mary Merloni | Technician/Technologist | 200 High Service Ave, North Providence, RI 02904-5113 | 2019-09-27 |
| 1740748235 | Daniel Michael Leary | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2019-03-04 |
| 1366913873 | Ainsley King Parker | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2018-12-10 |
| 1093285751 | Jennifer Lynn Deblois | Dietitian, Registered | 200 High Service Ave, North Providence, RI 02904-5113 | 2018-11-26 |
| 1972081966 | Melissa Ann Mcgovern | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2018-08-01 |
| 1285147702 | Jean Yeomans | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2017-11-06 |
| Find all providers in the same location | ||||
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528239621 | Veterans Administration Medical Center | Psychiatric Unit | 2 Heathman Road, White Hall, Rm 309, Kingston, RI 02881 | 2008-03-17 |
| 1710534961 | Lmw Healthcare Inc. | Psychiatric Unit | 25 Wells St, Westerly, RI 02891-2922 | 2019-08-22 |
| 1477978476 | Prospect Chartercare Rwmc, LLC | Psychiatric Unit | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2014-02-27 |
| 1992073308 | Blackstone Medical Center, Inc. | Psychiatric Unit | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2011-12-13 |
| 1669561528 | Newport Hospital | Psychiatric Unit | 11 Friendship St, Newport, RI 02840-2209 | 2006-10-11 |
| 1083709109 | Rhode Island Hospital | Psychiatric Unit | 593 Eddy St, Providence, RI 02903-4923 | 2006-10-04 |
| 1396722666 | Prime Healthcare Services-landmark LLC | Psychiatric Unit | 115 Cass Ave, Woonsocket, RI 02895-4705 | 2005-12-28 |
| 1689658791 | Roger Williams Hospital | Psychiatric Unit | 825 Chalkstone Ave, Providence, RI 02908-4728 | 2005-12-01 |
| City | NORTH PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on PROSPECT CHARTERCARE SJHSRI, LLC.
| 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.