NPI 1164467221 · live from the CMS NPI Registry
Elmhurst Extended Care Facilities, INC.
Skilled Nursing Facility in Providence, RI. National Provider Identifier 1164467221, active.
NPI record
| NPI | 1164467221 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 50 Maude St, Providence, RI 02908 |
| Practice phone | 401-456-2623 |
| Enumerated | June 20, 2006 |
| Last updated | November 27, 2007 |
| Authorized official | Richard Gamache, Vp/Adminstrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | LTC00663 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.