<Unavail>

LBN: 70 Gill Avenue Operations Llc
<Unavail> is an health care organization with primary practice located at 70 Gill Ave , Pawtucket RI 02861-4315. 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. 70 Gill Avenue Operations Llc can be contacted via phone (401) 722-7900, or through Berg, Michael T via phone (505) 468-4742.

Contact Information

Primary practice address
70 Gill Ave Pawtucket RI 02861-4315
Phone: (401) 722-7900
Fax: (401) 723-9670
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 LTC00736 Rhode Island

Profile Details

NPI number 1184875791
LBN Legal business name 70 Gill Avenue Operations Llc
DBA Doing business as <Unavail>
Authorized official Berg, Michael T
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2008
Last updated Jul 23rd, 2020 - about 6 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 1184875791 NPPES
Rhode Island MEDICAID GA75165

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