SCANDINAVIAN HOME INC (NPI# 1922031665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922031665 |
| Entity Type | Organization |
| Organization Name | SCANDINAVIAN HOME INC |
| Practice Address |
1811 Broad St Cranston RI 02905-3533 |
| Mailing Address |
1811 Broad Street Cranston RI 02905 |
| Practice Telephone | 4014611433 |
| Practice Fax Number | 4014614005 |
| Mailing Telephone | 4014611433 |
| Mailing Fax Number | 4014614005 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | MRS. LINDA TUCKER (ADMINISTRATOR) |
| Authorized Official Telephone | 4014611433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 00390 | RI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | UNITED HEALTH PROVIDER NU | 740800 | 01 |
| RI | BLUE CROSS PROVIDER NUMBE | 54375 | 01 |
| RI | 4105051 | 05 | |
| RI | BLUE CHIP PROVIDER NUMBER | 405363 | 01 |
| Street Address |
1811 BROAD ST |
| City | CRANSTON |
| State | RI |
| Zip Code | 02905-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| 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 |
|---|---|---|---|---|
| 1447305263 | Cra-mar Corporation | Skilled Nursing Facility | 575 Seven Mile Road, Cranston, RI 02921 | 2007-01-24 |
| 1417954967 | Cedar Crest Nursing Centre Inc | Skilled Nursing Facility | 125 Scituate Ave, Cranston, RI 02921-1838 | 2005-06-30 |
| 1801346747 | Optum Care | Skilled Nursing Facility | 125 Scituate Ave, Cranston, RI 02921-1838 | 2016-10-04 |
| 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.