BANNISTER NURSING CARE CENTER


Address: 135 Dodge St, Providence, RI 02907-2210
Phone: 4015219600

BANNISTER NURSING CARE CENTER (NPI# 1427177005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427177005
Entity Type Organization
Organization Name BANNISTER NURSING CARE CENTER
Practice Address 135 Dodge St
Providence
RI 02907-2210
Practice Telephone 4015219600
Practice Fax Number 4012743233
Mailing Telephone 4015219600
Mailing Fax Number 4012743233
Enumeration Date 2007-03-28
Last Update Date 2020-08-22
Authorized Official Name MS. CAROL A. MANCINI (ADMINISTRATOR)
Authorized Official Telephone 4015219600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3140N1450X Skilled Nursing Facility
Specialization: Nursing Care, Pediatric
LTC00600 RI Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
RI BLUE CROSS 5005-0 01
RI 4105038 05

Office Location

Street Address 135 DODGE ST
City PROVIDENCE
State RI
Zip Code 02907-2210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144845017 Sightrite Medical Ri LLC Optometrist 135 Dodge St, Providence, RI 02907-2210 2020-06-16
1184008088 Bannister Operations Assoc LLC Skilled Nursing Facility 135 Dodge St, Street, Providence, RI 02907-2210 2015-07-10
1285025114 Elizabeth Finan Registered Nurse 135 Dodge St, Providence, RI 02907-2210 2015-02-13
1124434105 Kyle Walters Registered Nurse 135 Dodge St, Providence, RI 02907-2210 2014-07-10
1326478983 Kenneth Adamo Jr. Registered Nurse 135 Dodge St, Providence, RI 02907-2210 2013-11-19
1528496205 Brian C Greene Registered Nurse 135 Dodge St, Providence, RI 02907-2210 2013-10-16
1174868996 Cheryl Wheeler Occupational Therapy Assistant 135 Dodge St, Providence, RI 02907-2210 2012-12-05
1639414469 Christine M Kellogg Physical Therapy Assistant 135 Dodge St, Providence, RI 02907-2210 2012-12-05
1144564998 Jacqueline Leona Plante Occupational Therapist 135 Dodge St, Providence, RI 02907-2210 2012-11-18
1275833527 Roberta Paone-hart Registered Nurse 135 Dodge St, Providence, RI 02907-2210 2010-11-02
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Taxonomy Information

Taxonomy Code 3140N1450X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility
Specialization Nursing Care, Pediatric

Taxonomy Definition

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
Notes: [7/1/2003: new]

Competitor

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City PROVIDENCE
Zip Code 02907

Improve Information

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Dataset Information

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.

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