NPI 1235112921 · live from the CMS NPI Registry
Eastgate Nursing And Recovery Center INC.
Skilled Nursing Facility in East Providence, RI. National Provider Identifier 1235112921, active.
NPI record
| NPI | 1235112921 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 198 Waterman Ave, East Providence, RI 02914 |
| Practice phone | 401-431-2087 |
| Enumerated | November 28, 2005 |
| Last updated | November 13, 2007 |
| Authorized official | Donna Amaral, Vice President/ Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | LTC00659 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.