HATTIE IDE CHAFFEE NURSING HOME INC (NPI# 1700912458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700912458 |
| Entity Type | Organization |
| Organization Name | HATTIE IDE CHAFFEE NURSING HOME INC |
| Practice Address |
200 Wampanoag Trl Riverside RI 02915-2206 |
| Practice Telephone | 4014341520 |
| Practice Fax Number | 4014388494 |
| Mailing Telephone | 4014341520 |
| Mailing Fax Number | 4014388494 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DEBORAH M GRIFFIN (ADMINISTRATOR) |
| Authorized Official Telephone | 4014341520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 223 | RI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 4105002 | 05 | |
| RI | UNITED HEALTHCARE | 71-09045 | 01 |
| RI | BLUE CROSS BLUE SHIELD | 5024-7 | 01 |
| RI | BLUE CHIP PROVIDER # | 401299 | 01 |
| Street Address |
200 WAMPANOAG TRL |
| City | RIVERSIDE |
| State | RI |
| Zip Code | 02915-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598240806 | Kate Pyne | Physical Therapist | 200 Wampanoag Trl, Riverside, RI 02915-2206 | 2018-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101335 | Brown Medicine | Clinic/Center | 62-68 Amaral Street, East Providence, RI 02915 | 2018-01-05 |
| 1093245391 | Robyn Lee Cranson | Pharmacist | 1086 Willet Ave, Rite Aid Pharmacy, Riverside, RI 02915 | 2017-06-19 |
| 1548703622 | Rebecca Leigh Bejma | Registered Nurse | 100 Bullocks Ave, East Providence, RI 02915 | 2016-11-22 |
| 1568833408 | Riverside Smiles Theodore I Goldberg, Dmd PC & Associates | Dentist | 250 Wampanoag Trail Suite 103, Riverside, RI 02915 | 2015-10-19 |
| 1003165796 | Sandra Cairo | Registered Nurse | 125 Bayview Ave, Riverside, RI 02915 | 2012-09-10 |
| 1487916136 | East Bay Community Action Program | Peer Specialist | 100 Bullocks Point, Riverside, RI 02915 | 2012-06-08 |
| 1497041453 | Bethany Marie Goldberg | Nurse Practitioner | 38 Amaral Street, Riverside, RI 02915 | 2011-06-28 |
| 1790078947 | Matthew Lynch | Internal Medicine | 375 Wampanoag Trl Ste 302a, Riverside, RI 02915 | 2011-05-20 |
| 1679866206 | Jill Stone | Occupational Therapist | 57 Euclid Ave, East Providence, RI 02915 | 2011-05-16 |
| 1770884462 | Kristin F. Cadieux | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915 | 2010-11-11 |
| Find all providers in zip 02915 | ||||
| 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 |
|---|---|---|---|---|
| 1336700772 | Riverside Snf, LLC | Skilled Nursing Facility | 17040 Arnold Dr, Riverside, CA 92518-2813 | 2019-06-26 |
| 1497168496 | Riverside Villa | Skilled Nursing Facility | 3495 Jefferson St, Riverside, CA 92504-3519 | 2014-06-06 |
| 1093057143 | 100 Wampanoag Trail Operating Company, LLC | Skilled Nursing Facility | 100 Wampanoag Trl, Riverside, RI 02915-3736 | 2013-03-26 |
| 1700186590 | Community Care Rehab Center LLC | Skilled Nursing Facility | 4070 Jurapa Ave, Riverside, CA 92506-2234 | 2010-10-26 |
| 1366643603 | Mutual Care Management, Inc. | Skilled Nursing Facility | 9025 Colorado Ave, Riverside, CA 92503-2157 | 2007-05-31 |
| 1497972624 | Riverside Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 4700 Nw Cliffview Drive, Riverside, MO 64150-1237 | 2007-04-19 |
| 1588734164 | Vista Pacifica Enterprises Inc. | Skilled Nursing Facility | 3674 Pacific Ave, Riverside, CA 92509-1948 | 2006-11-09 |
| 1730275769 | Trinity Oakland, Inc | Skilled Nursing Facility | 8487 Magnolia Ave, Riverside, CA 92504-3222 | 2006-10-05 |
| 1902902828 | F. & B. Health Care | Skilled Nursing Facility | 8171 Magnolia, Riverside, CA 92504 | 2006-09-16 |
| 1245343334 | Wilmon Corporation | Skilled Nursing Facility | 8951 Granite Hill Dr, Riverside, CA 92509-1104 | 2006-08-16 |
| Find all providers in RIVERSIDE | ||||
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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.