BURRILLVILLE NURSING HOME INC (NPI# 1538158456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538158456 |
| Entity Type | Organization |
| Organization Name | BURRILLVILLE NURSING HOME INC |
| Other Organization Name | PINE GROVE HEALTH CENTER |
| Practice Address |
999 S Main St Pascoag RI 02859-3522 |
| Practice Telephone | 4015683091 |
| Practice Fax Number | 4015688070 |
| Mailing Telephone | 4015683091 |
| Mailing Fax Number | 4015688070 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS LLOYD RYAN (PRESIDENT OWNER) |
| Authorized Official Telephone | 4015683091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 601 | RI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 4105099 | 05 |
| Other Name | Type Code |
|---|---|
| Pine Grove Health Center | Doing Business As Name - Organization |
| Street Address |
999 S MAIN ST |
| City | PASCOAG |
| State | RI |
| Zip Code | 02859-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518436856 | Cl Operating LLC | Respite Care | 999 S Main St, Pascoag, RI 02859-3522 | 2018-11-15 |
| 1386189322 | Caitlin Maire Fitzpatrick | Speech-Language Pathologist | 999 S Main St, Pascoag, RI 02859-3522 | 2016-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811397763 | Patricia Scuncio | Physical Therapy Assistant | 252 Donahue Road, Pascoag, RI 02859 | 2014-08-28 |
| 1134479520 | Kimberly Mary Cote | Social Worker | 2078 Wallum Lake Rd., Pascoag, RI 02859 | 2012-09-13 |
| 1487923793 | Northwest Community Health Care | Clinic/Center | 999 S. Main Street, Pascoag, RI 02859 | 2011-12-16 |
| 1730343666 | James Edward Sullivan | Counselor | 2076 Wallum Lake Rd, Pascoag, RI 02859 | 2008-07-10 |
| 1427243682 | Julie A. Vander Schel | Counselor | 2076 Wallum Lake Road, Pascoag, RI 02859 | 2007-09-11 |
| 1699985226 | Donna Watson | Counselor | 2198 Wallum Lake Rd., Pascoag, RI 02859 | 2007-05-23 |
| 1194817197 | Purvi Chokshi | Internal Medicine | 2090 Wallum Lake Road, Pascoag, RI 02859 | 2006-09-28 |
| 1659395622 | Dennis Edward Joyce | Counselor | 2198 Wallum Lake Road, Pascoag, RI 02859 | 2006-07-26 |
| 1427087782 | Robert James Brothers | Counselor | 2198 Wallum Lake Rd, Pascoag, RI 02859 | 2006-06-30 |
| 1245219070 | Northwest Community Health Care | Clinic/Center | 36 Bridge Way, Pascoag, RI 02859 | 2006-01-11 |
| Find all providers in zip 02859 | ||||
| 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 |
|---|---|---|---|---|
| 1669589800 | Harken Inc | Skilled Nursing Facility | 14 Rock Ave, Pascoag, RI 02859-0152 | 2006-08-24 |
| 1760027544 | Overlook Eden Operations, LLC | Skilled Nursing Facility | 14 Rock Ave, Pascoag, RI 02859-3220 | 2019-11-15 |
| 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.