Organization · NPI-2

83 Corona Street Eden Operations LLC

Skilled Nursing Facility · Warwick, RI

NPI number1295474534
StatusActive
Last updated in NPPESFeb 14, 2023

Details

NPI
1295474534
Entity type
Organization (NPI-2)
Legal business name
83 Corona Street Eden Operations LLC
Organization subpart
No
Enumeration date
Jun 3, 2022
Certification date
Feb 14, 2023
Last updated
Feb 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes
3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric––

Other names

  • Sunny View Nursing Home (Doing Business As)

Practice location

83 Corona St
Warwick, RI 02886-1724

Phone 401-737-9193

Mailing address

3118 Quentin Rd
Brooklyn, NY 11234-4249

Authorized official

Louis Gellis
President & Member
9175537241

Is something wrong?

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