FOREST FARM HEALTH CARE CENTER I LLC (NPI# 1184714602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184714602 |
| Entity Type | Organization |
| Organization Name | FOREST FARM HEALTH CARE CENTER I LLC |
| Practice Address |
201 Forest Ave Middletown RI 02842-4625 |
| Practice Telephone | 4018472777 |
| Practice Fax Number | 4018487403 |
| Mailing Telephone | 4018472777 |
| Mailing Fax Number | 4018487403 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KARL H LYON (ADMINISTRATOR OWNER) |
| Authorized Official Telephone | 4018472777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 314000000X | Skilled Nursing Facility | 00737 | RI | Nursing & Custodial Care Facilities |
| X | 310400000X | Assisted Living Facility | ALR01308 | RI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | FF03657 | 05 | |
| RI | 4105040 | 05 | |
| RI | FF40453 | 05 |
| Street Address |
201 FOREST AVE |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326191735 | Newcare, LLC | Home Health | 201 Forest Ave, Middletown, RI 02842-4625 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
| 1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
| 1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
| 1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
| 1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
| 1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
| 1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
| 1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
| Find all providers in zip 02842 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881129641 | Shiney Smiley | Skilled Nursing Facility | 320 Price Dr, Middletown, DE 19709-9933 | 2017-04-28 |
| 1578901377 | Genesis Rehabilitation | Skilled Nursing Facility | 205 Mina Dr, Middletown, MD 21769-7828 | 2013-06-13 |
| 1730451501 | Wadsworth Glen, Inc | Skilled Nursing Facility | 30 Boston Rd, Middletown, CT 06457-3543 | 2012-02-08 |
| 1922323385 | Jacquelyn M. Mercey | Skilled Nursing Facility | 4111 Town Brooke, Middletown, CT 06457-6633 | 2010-03-29 |
| 1245375591 | Willow Knoll Retirement Community | Skilled Nursing Facility | 4400 Vannest Ave, Middletown, OH 45042-2770 | 2007-02-21 |
| 1861509044 | Athena Middlesex LLC | Skilled Nursing Facility | 100 Randolph Rd, Middletown, CT 06457-5637 | 2006-08-24 |
| 1568419372 | Health Resources of Middletown R I Inc | Skilled Nursing Facility | 333 Green End Ave, Middletown, RI 02842-5620 | 2006-05-27 |
| 1578520011 | Diakon Lutheran Social Ministries | Skilled Nursing Facility | 1020 N Union St, Middletown, PA 17057-2158 | 2006-04-27 |
| 1942284112 | Chs - Kensington, Inc | Skilled Nursing Facility | 751 Kensington St, Middletown, OH 45044-6017 | 2005-12-01 |
| 1396736716 | Garden Manor Extended Care Center, Inc. | Skilled Nursing Facility | 6898 Hamilton Middletown Road, Middletown, OH 45044-7859 | 2005-11-03 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 02842 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.