981 KINGS TOWN ROAD OPERATING COMPANY, LLC


Address: 55 Scallop Shell Way, Peace Dale, RI 02879-3045
Phone: 4017893006

981 KINGS TOWN ROAD OPERATING COMPANY, LLC (NPI# 1679874135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679874135
Entity Type Organization
Organization Name 981 KINGS TOWN ROAD OPERATING COMPANY, LLC
Other Organization Name ELDERWOOD OF SCALLOP SHELL AT WAKEFIELD
Practice Address 55 Scallop Shell Way
Peace Dale
RI 02879-3045
Mailing Address 641 Lexington Ave
31st Floor
New York
NY 10022-4503
Practice Telephone 4017893006
Mailing Telephone 9082368712
Enumeration Date 2010-11-15
Last Update Date 2016-03-02
Authorized Official Name MR. GREGORY HOOK (CHIEF COMPLIANCE OFFICER)
Authorized Official Telephone 9082368712
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
RI RHODE ISLAND DEPARTMENT OF HEALTH LTC00352 01

Other Provider/Organization Names

Other Name Type Code
Elderwood of Scallop Shell at Wakefield Doing Business As Name - Organization

Office Location

Street Address 55 SCALLOP SHELL WAY
City PEACE DALE
State RI
Zip Code 02879-3045

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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811999576 Scallop Shell Nursing & Rehabilitation Center, Inc. Skilled Nursing Facility 981 Kingstown Rd, Peace Dale, RI 02879-3042 2005-08-12

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Competitor

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City PEACE DALE
Zip Code 02879

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Dataset Information

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.

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