COVENTRY SKILLED NURSING AND REHAB (NPI# 1558658963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558658963 |
| Entity Type | Organization |
| Organization Name | COVENTRY SKILLED NURSING AND REHAB |
| Practice Address |
10 Woodland Drive Coventry RI 02816 |
| Practice Telephone | 4018262000 |
| Mailing Telephone | 4018262000 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |
| Authorized Official Name | MISS KERRI KATHLEEN LEWIS (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Telephone | 4018262000 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | PTA00568 | RI | Nursing & Custodial Care Facilities |
| Street Address |
10 WOODLAND DRIVE |
| City | COVENTRY |
| State | RI |
| Zip Code | 02816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063806305 | Sheila Mackey | Specialist | 10 Woodland Drive, Coventry, RI 02816 | 2015-03-25 |
| 1457770562 | Michelle Elizabeth Kane | Occupational Therapist | 10 Woodland Drive, Coventry, RI 02816 | 2014-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164912564 | Marissa Smyrski | Physical Therapist | 982 Tiogue Avneue, Suite 202, Coventry, RI 02816 | 2018-05-11 |
| 1952787640 | Hayley Houghton | Occupational Therapy Assistant | 501 Hill St, Coventry, RI 02816 | 2015-08-04 |
| 1255697082 | Eric George, Dmd Ltd. | Dentist | 121 Sandy Bottom Road, Coventry, RI 02816 | 2012-04-05 |
| 1396032595 | Dak Family Medical LLC | Nurse Practitioner | 87 Sandy Bottom Road, Coventry, RI 02816 | 2011-07-08 |
| 1124263884 | Coventry Orthodontic LLC | Dentist | 2435 Nooseneck Hill Rd, Coventry, RI 02816 | 2008-12-10 |
| 1326160961 | Alan A. Ali | Physician Assistant | 13th Civil Support Team, 570 Read Schoolhouse Road, Coventry, RI 02816 | 2007-04-04 |
| 1912022179 | Dr Roberta Boatwright Dds Inc | Dentist | 121 Sandy Bottom Rd, Coventry, RI 02816 | 2007-03-20 |
| 1851441083 | Dmitry Z Gelfand | Dentist | 903 Tiogue Avenue, Coventry, RI 02816 | 2007-01-11 |
| 1538220694 | Coventry Imaging Associates LLC | Radiology | 71 Sandy Bottom Road, Coventry, RI 02816 | 2006-12-13 |
| 1912000894 | Duane T Golomb Md Inc | Family Medicine | 766 Washington St, Corentry, RI 02816 | 2006-09-06 |
| Find all providers in zip 02816 | ||||
| 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 |
|---|---|---|---|---|
| 1316915580 | Alpine Nursing Home Inc | Skilled Nursing Facility | 557 Weaver Hill Rd, Coventry, RI 02816-4654 | 2006-03-14 |
| 1275506230 | Haven Health Center of Coventry, LLC | Skilled Nursing Facility | 10 Woodland Dr, Coventry, RI 02816-6716 | 2006-02-09 |
| 1790783116 | Riverview Nursing Home. Inc. | Skilled Nursing Facility | 546 Main St, Coventry, RI 02816-7852 | 2005-07-10 |
| 1861770745 | Genesis | Skilled Nursing Facility | 10 Woodland Dr, Coventry, RI 02816-6716 | 2011-07-27 |
| 1700173788 | Mikaela Esau | Skilled Nursing Facility | 10 Woodland Dr, Coventry, RI 02816-6716 | 2011-06-29 |
| 1942596580 | Tracy Zegarzewski | Skilled Nursing Facility | 10 Woodland Dr, Coventry, RI 02816-6716 | 2011-06-22 |
| 1912158528 | 10 Woodland Drive Operations LLC | Skilled Nursing Facility | 10 Woodland Dr, Coventry, RI 02816-6716 | 2008-10-02 |
| 1922260272 | Tc Healthcare I, LLC | Skilled Nursing Facility | 10 Woodland Dr, Coventry, RI 02816-6716 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952840381 | New England Premier Healthcare | Skilled Nursing Facility | 262 Poplar St, Woonsocket, RI 02895-3747 | 2017-02-17 |
| 1174986608 | Theodore J Hardgrove | Skilled Nursing Facility | 174 Woodward Rd, Providence, RI 02904-1720 | 2016-04-01 |
| 1891109336 | Senior Lifestyle Sakonnet Bay Limited Partnership | Skilled Nursing Facility | 1215 Main Rd, Tiverton, RI 02878-4246 | 2014-06-12 |
| 1477971893 | Ch-oak Hill LLC | Skilled Nursing Facility | 544 Pleasant St, Pawtucket, RI 02860-5726 | 2014-04-02 |
| 1144643586 | Nicole Morin | Skilled Nursing Facility | 180 Bailey St, Woonsocket, RI 02895-6302 | 2014-01-21 |
| 1093057143 | 100 Wampanoag Trail Operating Company, LLC | Skilled Nursing Facility | 100 Wampanoag Trl, Riverside, RI 02915-3736 | 2013-03-26 |
| 1831443779 | Athena Orchard View LLC | Skilled Nursing Facility | 135 Tripps Lane, East Providence, RI 02915-3017 | 2012-10-30 |
| 1679874135 | 981 Kings Town Road Operating Company, LLC | Skilled Nursing Facility | 55 Scallop Shell Way, Peace Dale, RI 02879-3045 | 2010-11-15 |
| 1750533527 | Angela Niles | Skilled Nursing Facility | 6 Luther St, Johnston, RI 02919-6129 | 2008-10-10 |
| 1740432517 | Kimberly Lizotte | Skilled Nursing Facility | 642 River Rd, Lincoln, RI 02865-1406 | 2008-10-10 |
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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.