THE HOLIDAY RETIREMENT HOME, INC. (NPI# 1528050499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528050499 |
| Entity Type | Organization |
| Organization Name | THE HOLIDAY RETIREMENT HOME, INC. |
| Other Organization Name | THE HOLIDAY |
| Practice Address |
30 Sayles Hill Rd Manville RI 02838-1227 |
| Practice Telephone | 4017651440 |
| Practice Fax Number | 4017657464 |
| Mailing Telephone | 4017651440 |
| Mailing Fax Number | 4017657464 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT EVERETTE HORTON JR. (ADMINISTRATOR) |
| Authorized Official Telephone | 4017651440 |
| Authorized Official Credential | B.S., NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 588 | RI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | VETERANS ADMINISTRATION | V631P3705 | 01 |
| RI | 4105075 | 05 |
| Other Name | Type Code |
|---|---|
| The Holiday | Doing Business As Name - Organization |
| Street Address |
30 SAYLES HILL RD |
| City | MANVILLE |
| State | RI |
| Zip Code | 02838-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326171026 | Rose E. Fredericks | Internal Medicine | 15 Joyce Anne Dr, Manville, RI 02838-1017 | 2007-03-13 |
| 1063923373 | Joshua Nicholas Liard | Counselor | 144 Church St, Manville, RI 02838-1101 | 2017-10-14 |
| 1093150518 | Aaron Bond Morris | Counselor | 12 Reservoir Ave Apt C, Apt. C, Manville, RI 02838-1222 | 2013-05-10 |
| 1417365933 | Rhonda Somyk | Nutritionist | 3 Umbrella Way, Manville, RI 02838-1249 | 2014-07-28 |
| 1184951980 | Peter Nicholas Dekreon | Behavioral Analyst | 120 Summer St, Manville, RI 02838-1313 | 2009-11-16 |
| 1801005715 | The Homestead Group | Nursing Facility/Intermediate Care Facility | 112 Maple St, Manville, RI 02838-1507 | 2007-05-21 |
| 1093832339 | Avatar Residential, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 425 New River Rd, Manville, RI 02838-1805 | 2007-03-23 |
| 1174811756 | Janice Votta | Speech-Language Pathologist | 400 New River Rd Apt 411, Manville, RI 02838-1814 | 2011-07-15 |
| 1346721743 | Elizabeth Moore | Social Worker | 315 New River Rd, Manville, RI 02838-1817 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647736 | Apluscare, LLC | Community/Behavioral Health | 1419 W Camplain Rd, Manville, NJ 08835-1647 | 2020-10-19 |
| 1093355687 | Mildred Miller-king | Case Manager/Care Coordinator | 115 N 8th Ave, Manville, NJ 08835-1249 | 2020-01-10 |
| 1326513219 | Dottie Krista Planeta | Registered Nurse | 21 S 8th Ave Apt B, Manville, NJ 08835-1713 | 2018-10-08 |
| 1346721743 | Elizabeth Moore | Social Worker | 315 New River Rd, Manville, RI 02838-1817 | 2018-08-23 |
| 1063923373 | Joshua Nicholas Liard | Counselor | 144 Church St, Manville, RI 02838-1101 | 2017-10-14 |
| 1033636857 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 South St Apt 4, Manville, NJ 08835-1874 | 2017-08-23 |
| 1467979385 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 South St Apt 6, Manville, NJ 08835-1874 | 2017-08-23 |
| 1295252013 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 South St Apt 7, Manville, NJ 08835-1874 | 2017-08-23 |
| 1578925335 | Katherine Provel | Speech-Language Pathologist | 1333 Dominic St, Manville, NJ 08835-1956 | 2016-03-22 |
| 1790145639 | A2z Dental | Clinic/Center | 255 North Main Str., Manville, NJ 08835 | 2016-03-04 |
| Find all providers in MANVILLE | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.