NPI 1174986608 · live from the CMS NPI Registry
Theodore J Hardgrove
Skilled Nursing Facility in Providence, RI. National Provider Identifier 1174986608, active.
NPI record
| NPI | 1174986608 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 174 Woodward Rd, Providence, RI 02904 |
| Practice phone | 401-749-7088 |
| Mailing address | 174 Woodward Road, Providence, RI 02904 |
| Enumerated | April 1, 2016 |
| Last updated | April 1, 2016 |
| Authorized official | Theodore Hardgrove, Principal |
| Other names | Geriatric Consultation Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 1024143 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.