Shady Acres, Inc.

LBN: Shady Acres, Inc.
Shady Acres, Inc. is an health care organization with primary practice located at 415 Gardner Rd , West Kingston RI 02892-1047. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Shady Acres, Inc. can be contacted via phone (401) 295-8520, or through Miga, Charles William via phone (401) 295-8540.

Contact Information

Primary practice address
415 Gardner Rd West Kingston RI 02892-1047
Phone: (401) 295-8520
Fax: (401) 294-1050
Website:
Map and Directions
Authorized official contact:
Name: Miga, Charles William
Phone: (401) 295-8540

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 608 Rhode Island
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 608 Rhode Island

Profile Details

NPI number 1346234135
LBN Legal business name Shady Acres, Inc.
DBA Doing business as
Authorized official Miga, Charles William
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
Last updated Sep 10th, 2014 - about 12 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 1346234135 NPPES
Rhode Island Other 402416 BLUE CHIP
Rhode Island MEDICAID 4105107 BLUE CHIP
Rhode Island Other 71-0005 BLUE CHIP

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