PROSPECT CHARTERCARE SJHSRI, LLC (NPI# 1871918870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871918870 |
| Entity Type | Organization |
| Organization Name | PROSPECT CHARTERCARE SJHSRI, LLC |
| Other Organization Name | OUR LADY OF FATIMA HOSPITAL |
| 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 | 282N00000X | General Acute Care Hospital | HOS00110 | RI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 4100005 | 05 |
| Other Name | Type Code |
|---|---|
| Our Lady of Fatima Hospital | 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 |
| 1396160396 | Prospect Chartercare Sjhsri, LLC | Psychiatric Unit | 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871994293 | Ferguson Animal Hospital | General Acute Care Hospital | 660 Woonasquatucket Ave, North Providence, RI 02911-1623 | 2014-09-05 |
| 1841335783 | St. Joseph Health Services of Ri | General Acute Care Hospital | 200 High Service Ave, North Providence, RI 02904-5113 | 2007-02-20 |
| 1699810523 | St. Joseph Health Services of Ri | General Acute Care Hospital | 200 High Service Ave, North Providence, RI 02904-5113 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720594690 | Newport Memorial Hospital - Navy Resource Sharing | General Acute Care Hospital | 1 Bellevue Ave, Newport, RI 02840-3205 | 2017-12-14 |
| 1528469707 | Prospect Chartercare Rwmc, LLC | General Acute Care Hospital | 84 Colvintown Rd, Coventry, RI 02816-8516 | 2014-09-08 |
| 1184806002 | Paul Christopher Glaze | General Acute Care Hospital | 30 Lyndon Ave, Warwick, RI 02889-4616 | 2007-12-03 |
| 1033323803 | Ms Center of Care New Englad | General Acute Care Hospital | 1351 S County Trl Ste 200, East Greenwich, RI 02818-5080 | 2007-05-10 |
| 1447312574 | First Physicians Corp | General Acute Care Hospital | 6 Great Meadows Ln, Lincoln, RI 02865-3823 | 2006-12-14 |
| 1609953397 | Rhode Island Hospital | General Acute Care Hospital | 1 Hoppin St Ste 200, Providence, RI 02903-4132 | 2006-11-01 |
| 1538271515 | Roger Williams Med. Center | General Acute Care Hospital | 616 Lewis Farm Rd, Cpu Summit General Store, RI 02827-2108 | 2006-08-31 |
| 1417419789 | Kent County Memorial Hospital - Navy Resource Sharing | General Acute Care Hospital | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2019-04-04 |
| 1629425533 | Alexander Paul Troum | General Acute Care Hospital | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2016-05-20 |
| 1851746259 | South County Health | General Acute Care Hospital | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2016-05-04 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PROVIDENCE |
| Zip Code | 02904 |
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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.