Warren Skilled Nursing And Rehabilitation

LBN: 642 Metacom Avenue Operations Llc
Warren Skilled Nursing And Rehabilitation is an health care organization with primary practice located at 642 Metacom Ave , Warren RI 02885-2350. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 642 Metacom Avenue Operations Llc can be contacted via phone (401) 245-2860, or through Berg, Michael T via phone (505) 468-4742.

Contact Information

Primary practice address
642 Metacom Ave Warren RI 02885-2350
Phone: (401) 245-2860
Fax: (401) 245-0959
Website:
Map and Directions
Authorized official contact:
Name: Berg, Michael T
Phone: (505) 468-4742

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X LTC00733 Rhode Island

Profile Details

NPI number 1265683874
LBN Legal business name 642 Metacom Avenue Operations Llc
DBA Doing business as Warren Skilled Nursing And Rehabilitation
Authorized official Berg, Michael T
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2008
Last updated Jan 22nd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265683874 NPPES
Rhode Island MEDICAID MA75166

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