Organization · NPI-2

Harborside Rhode Island Limited Partnership

Skilled Nursing Facility · Warwick, RI

NPI number1003823626
StatusActive
Last updated in NPPESAug 29, 2023

Details

NPI
1003823626
Entity type
Organization (NPI-2)
Legal business name
Harborside Rhode Island Limited Partnership
Organization subpart
Yes
Enumeration date
Aug 3, 2006
Certification date
Aug 29, 2023
Last updated
Aug 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing FacilityLTC 00709RIYes

Other names

  • Greenwood Care And Rehabilitation Center (Doing Business As)

Practice location

1139 Main Ave
Warwick, RI 02886-1940

Phone 401-739-6600 · Fax 401-738-0310

Mailing address

101 Sun Ave Ne
Compliance Department
Albuquerque, NM 87109-4373

Phone 505-468-5604 · Fax 505-468-4681

Authorized official

Michael T Berg
Officer
5054684742

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