OES HOME OF RI,INC/ETHAN PLACE (NPI# 1558557629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558557629 |
| Entity Type | Organization |
| Organization Name | OES HOME OF RI,INC/ETHAN PLACE |
| Practice Address |
85 Ethan St Warwick RI 02888-3905 |
| Practice Telephone | 4017815460 |
| Practice Fax Number | 4017810479 |
| Mailing Telephone | 4017815460 |
| Mailing Fax Number | 4017810479 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | MRS. SANDRA L. LACROSS (ADMINISTRATOR) |
| Authorized Official Telephone | 4017815460 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | RI | Nursing & Custodial Care Facilities |
| Street Address |
85 ETHAN ST |
| City | WARWICK |
| State | RI |
| Zip Code | 02888-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780807347 | Ethan Place | Clinic/Center | 85 Ethan St, Warwick, RI 02888-3905 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644164 | Paul J Rocchio | Counselor | 2020 Elmwood Avenue Bridgemark, Inc., Warwick, RI 02888 | 2018-10-11 |
| 1184147811 | Alyssa Campagnone | Optometrist | 222 Jefferson Blvd Fl 3, Warwick, RI 02888 | 2017-07-25 |
| 1215204698 | Nicolette Fraza | Dietitian, Registered | 37 General Hawkinds Dr, Warwick, RI 02888 | 2011-11-29 |
| 1043431042 | Double Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1168 Warwick Ave, Warwick, RI 02888 | 2007-05-01 |
| 1205059037 | Richard Mark Goldenberg | Dentist | 708 Warwick Avenue, Warwick, RI 02888 | 2007-04-10 |
| 1558486068 | Richard Michael Bello | Optometrist | 1168 Warwick Avenue, Warwick, RI 02888 | 2007-03-21 |
| 1407997687 | Michael M Gooding | Dentist | 1422 Warwick Avenue, Warwick, RI 02888 | 2007-02-09 |
| 1528109246 | Kristie A. Ervanian | Counselor | 1087 Warwick Ave Rear Unit, Warwick, RI 02888 | 2007-02-08 |
| 1457417883 | Eugene Milton Dandrea | Psychologist | 1434 Warwick Avenue, Warwick, RI 02888 | 2006-12-29 |
| 1689750044 | Lucille C Vega | Family Medicine | 962 Warwick Avenue, Warwick, RI 02888 | 2006-10-28 |
| Find all providers in zip 02888 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467945972 | Rhode Island Residential Assisted Living, LLC | Assisted Living Facility | 655 Commonwealth Ave, Warwick, RI 02886-2788 | 2018-06-08 |
| 1467732370 | Sh Opco West Bay Manor LLC | Assisted Living Facility | 2783 W Shore Rd, Warwick, RI 02889-8659 | 2011-08-23 |
| 1417080334 | Senior Lifestyle Horizon Bay Ltd | Assisted Living Facility | 2783 West Shore Road, Warwick, RI 02889-8652 | 2007-03-13 |
| 1275559155 | St. Frances Center At The Knolls | Assisted Living Facility | 20 Grand St, Warwick, NY 10990-1035 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679132252 | 10 Old Dominion Operations, LLC | Assisted Living Facility | 10 Old Diamond Hill Rd, Cumberland, RI 02864-4611 | 2019-06-07 |
| 1720511900 | Denise Carol Soucie | Assisted Living Facility | 1057 Chopmist Hill Rd, North Scituate, RI 02857-1047 | 2017-04-05 |
| 1619355450 | S-h Thirty-five Opco - Pocasset, LLC | Assisted Living Facility | 12 Old Pocasset Ln, Johnston, RI 02919-3138 | 2015-05-13 |
| 1922403062 | Highland East LLC | Assisted Living Facility | 101 Highland Ave, Providence, RI 02906-2748 | 2014-10-31 |
| 1245654805 | Bella Villa Assisted Living, Inc | Assisted Living Facility | 336 Willett Ave, East Providence, RI 02915-3805 | 2014-02-18 |
| 1679919203 | Woonsocket Housing Authority | Assisted Living Facility | 429 E School St, Woonsocket, RI 02895-1377 | 2013-05-22 |
| 1598069403 | One Lantern Senior Living Inc. | Assisted Living Facility | 159 Division St, East Greenwich, RI 02818-2920 | 2011-01-06 |
| 1508160417 | One Lantern Senior Living Inc. | Assisted Living Facility | 125 Quaker Hill Ln, Portsmouth, RI 02871-4072 | 2011-01-06 |
| 1033413943 | One Lantern Senior Living Group Inc. | Assisted Living Facility | 612 George Washington Hwy, Lincoln, RI 02865-4236 | 2011-01-06 |
| 1588966949 | Wyndemere Woods LLC | Assisted Living Facility | 1044 Mendon Rd, Woonsocket, RI 02895-3997 | 2010-11-17 |
| 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.