ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND (NPI# 1487784997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487784997 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND |
| Other Organization Name | TRANSITIONAL CARE UNIT |
| Practice Address |
21 Peace St Providence RI 02907-1510 |
| Mailing Address |
825 Chalkstone Ave N. Campus Business Office Providence RI 02908-4728 |
| Practice Telephone | 4014563309 |
| Practice Fax Number | 4014563762 |
| Mailing Telephone | 4014562525 |
| Mailing Fax Number | 4014566742 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2014-02-11 |
| Authorized Official Name | MICHAEL CONKLIN JR. (SNR. VP, CFO) |
| Authorized Official Telephone | 4014562525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | LTC00698 | RI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 4105122 | 05 | |
| RI | LICENSE NUMBER | LTC00698 | 01 |
| Other Name | Type Code |
|---|---|
| TRANSITIONAL CARE UNIT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356478002 | St. Joseph Health Services of Rhode Island | Obstetrics & Gynecology | 21 Peace St, Providence, RI 02907-1510 | 2007-02-28 |
| 1285779116 | St. Joseph Health Services of Rhode Island | Rehabilitation Practitioner | 200 High Service Ave, N Providence, RI 02904-5113 | 2007-02-20 |
| 1326122557 | St. Joseph Health Services of Rhode Island | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-10-24 |
| 1578581443 | St. Joseph Health Services of Rhode Island | Dentist | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-07-18 |
| Street Address |
21 PEACE ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02907-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033103098 | Stanley John Stutz Jr. | Orthopaedic Surgery | 21 Peace St, Corporate Care, Providence, RI 02907-1510 | 2005-09-07 |
| 1083249098 | Anna Lam | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2020-03-10 |
| 1447884861 | Adam Takeo Ellenthal | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2020-02-25 |
| 1275166050 | Christopher Padhi | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2020-02-19 |
| 1770040412 | Tyler Anthony Beninati | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2019-03-01 |
| 1972060606 | Gabrielle Morgan Lieberman | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2019-02-28 |
| 1962969691 | John Anthony Power IIi | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2019-02-28 |
| 1386101541 | Victoria Anne Gill | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2019-02-25 |
| 1740772037 | Tiffany Diem Tu Ngo | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2018-06-01 |
| 1841794500 | Amrita Khemka | Student in an Organized Health Care Education/Training Program | 21 Peace St, Providence, RI 02907-1510 | 2018-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 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 |
|---|---|---|---|---|
| 1174986608 | Theodore J Hardgrove | Skilled Nursing Facility | 174 Woodward Rd, Providence, RI 02904-1720 | 2016-04-01 |
| 1730219619 | Steere House | Skilled Nursing Facility | 100 Borden St, Providence, RI 02903-4803 | 2007-03-07 |
| 1881684736 | Charlesgate Nursing Center | Skilled Nursing Facility | 100 Randall St, Providence, RI 02904-2723 | 2005-10-24 |
| 1356338248 | Bethany Home of Rhode Island | Skilled Nursing Facility | 111 South Angell Street, Providence, RI 02906-5397 | 2005-10-05 |
| 1528060290 | Episcopal Housing Foundation of Rhode Island | Skilled Nursing Facility | 66 Benefit St, Providence, RI 02904-2742 | 2005-08-12 |
| 1891797858 | Rosewood Manor, Ltd | Skilled Nursing Facility | 140 Pitman St, Providence, RI 02906-5113 | 2005-06-02 |
| 1336513811 | Src Providence, LLC | Skilled Nursing Facility | 353 Blackstone Blvd, Providence, RI 02906-4936 | 2015-11-20 |
| 1205203569 | Park View Operations Associates LLC | Skilled Nursing Facility | 31 Parade St, Providence, RI 02909-1720 | 2015-08-21 |
| 1184008088 | Bannister Operations Assoc LLC | Skilled Nursing Facility | 135 Dodge St, Street, Providence, RI 02907-2210 | 2015-07-10 |
| 1457776452 | Prospect Chartercare Elmhurst, LLC | Skilled Nursing Facility | 50 Maude St, Providence, RI 02908-4325 | 2014-02-27 |
| Find all providers in PROVIDENCE | ||||
| 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.