Pine Grove Health Center

LBN: Burrillville Nursing Home Inc
Pine Grove Health Center is an health care organization with primary practice located at 999 S Main St , Pascoag RI 02859-3522. 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. Burrillville Nursing Home Inc can be contacted via phone (401) 568-3091, or through Ryan, Thomas Lloyd via phone (401) 568-3091.

Contact Information

Primary practice address
999 S Main St Pascoag RI 02859-3522
Phone: (401) 568-3091
Fax: (401) 568-8070
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Thomas Lloyd
Phone: (401) 568-3091

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 601 Rhode Island

Profile Details

NPI number 1538158456
LBN Legal business name Burrillville Nursing Home Inc
DBA Doing business as Pine Grove Health Center
Authorized official Ryan, Thomas Lloyd
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2005
Last updated Aug 22nd, 2020 - about 5 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 1538158456 NPPES
Rhode Island MEDICAID 4105099

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