Elmhurst Extended Care Facility

LBN: Prospect Chartercare Elmhurst, Llc
Elmhurst Extended Care Facility is an health care organization with primary practice located at 50 Maude St , Providence RI 02908-4325. 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. Prospect Chartercare Elmhurst, Llc can be contacted via phone (401) 456-2623, or through Elders, Robert Jon via phone (714) 788-1249.

Contact Information

Primary practice address
50 Maude St Providence RI 02908-4325
Phone: (401) 456-2623
Fax: (401) 456-6862
Website:
Map and Directions
Authorized official contact:
Name: Elders, Robert Jon
Phone: (714) 788-1249

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X LTC00663 Rhode Island

Profile Details

NPI number 1457776452
LBN Legal business name Prospect Chartercare Elmhurst, Llc
DBA Doing business as Elmhurst Extended Care Facility
Authorized official Elders, Robert Jon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2014
Last updated Jan 15th, 2021 - 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 1457776452 NPPES
Rhode Island MEDICAID 4105084

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