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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | BLUE CROSS | 5005-0 | 01 |
RI | 4105038 | 05 |
Street Address |
135 DODGE ST |
City | PROVIDENCE |
State | RI |
Zip Code | 02907-2210 |
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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1518522861 | Catherine M Katzberg | Massage Therapist | Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 | 2019-05-02 |
1104317007 | Victa LLC | Internal Medicine | 110 Elmwood Ave # A, Providence, RI 02907 | 2018-05-25 |
1639566987 | Southside Elementary Charter School | Local Education Agency (LEA) | 126 Somerset Street, Providence, RI 02907 | 2015-04-23 |
1063846558 | Achievement First Providence Mayoral Academy Charter School | Local Education Agency (LEA) | 370 Hartford Aveneue, Providence, RI 02907 | 2013-09-03 |
1912297425 | Reynaldo P Baduya Sr.,dmd | Clinic/Center | 252 Adelaide Avenue, Providence, RI 02907 | 2011-04-18 |
1821218587 | Map Behavioral Health Serv. Inc. | Community/Behavioral Health | 66 Burnett Street, Providence, RI 02907 | 2007-04-26 |
1548336944 | Angelica Redleaf | Chiropractor | 1196 Elmwood Avenue, Providence, RI 02907 | 2006-11-28 |
1174619878 | Emilio Rodriguez-peris | Internal Medicine | 655 Broad Street, Suite 201, Providence, RI 02907 | 2006-10-04 |
1841381555 | Maged Taman | Internal Medicine | 21 Peace Street, Providence, RI 02907 | 2006-09-27 |
1003924226 | Gladys V Rezendes | Psychologist | 118 Comstock Avenue, Providence, RI 02907 | 2006-08-28 |
Find all providers in zip 02907 |
Taxonomy Code | 3140N1450X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
Specialization | Nursing Care, Pediatric |
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] |
City | PROVIDENCE |
Zip Code | 02907 |
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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.