EPOCH SL I INC (NPI# 1942236575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942236575 |
| Entity Type | Organization |
| Organization Name | EPOCH SL I INC |
| Other Organization Name | EPOCH SENIOR HEALTHCARE ON BLACKSTONE BLVD |
| Practice Address |
353 Blackstone Blvd Providence RI 02906 |
| Mailing Address |
51 Sawyer Road Ste 500 Epoch Senior Living Inc Waltham MA 02453 |
| Practice Telephone | 4012736565 |
| Practice Fax Number | 4012736568 |
| Mailing Telephone | 7818910777 |
| Mailing Fax Number | 7816470697 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | MS. DEBORA A PFAFF (CFO) |
| Authorized Official Telephone | 7818910777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Epoch Senior Healthcare on Blackstone Blvd | Doing Business As Name - Organization |
| Street Address |
353 BLACKSTONE BLVD |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548230097 | Milestone Rehab, L.L.C. | Physical Therapist | 353 Blackstone Blvd, Providence, RI 02906-4936 | 2006-01-26 |
| 1588200166 | Src Blackstone Op, LLC | Assisted Living Facility | 353 Blackstone Blvd, Providence, RI 02906-4936 | 2019-11-19 |
| 1245688332 | Shana Coleman | Occupational Therapist | 353 Blackstone Blvd, Providence, RI 02906-4936 | 2016-05-30 |
| 1982052163 | Stephanie Crabtree | Occupational Therapist | 353 Blackstone Blvd, Providence, RI 02906-4936 | 2016-05-29 |
| 1427406677 | Deanna Recupero | Physical Therapist | 353 Blackstone Blvd, Providence, RI 02906-4936 | 2016-05-27 |
| 1275981714 | Danielle Gisele Coughlin | Physical Therapist | 353 Blackstone Blvd, Providence, RI 02906-4936 | 2016-05-25 |
| 1609224187 | Stefanie Luft | Speech-Language Pathologist | 353 Blackstone Blvd, Providence, RI 02906-4936 | 2016-05-25 |
| 1447615034 | Src Providence, LLC | Assisted Living Facility | 353 Blackstone Blvd, Providence, RI 02906-4936 | 2015-12-23 |
| 1336513811 | Src Providence, LLC | Skilled Nursing Facility | 353 Blackstone Blvd, Providence, RI 02906-4936 | 2015-11-20 |
| 1720268402 | Epoch On Blackstone Boulevard, LLC | Skilled Nursing Facility | 353 Blackstone Blvd, Providence, RI 02906-4936 | 2007-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| 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 | 02906 |
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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.