NPI 1265683874 · live from the CMS NPI Registry
642 Metacom Avenue Operations LLC
Skilled Nursing Facility in Warren, RI. National Provider Identifier 1265683874, active.
NPI record
| NPI | 1265683874 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 642 Metacom Ave, Warren, RI 02885 |
| Practice phone | 401-245-2860 |
| Enumerated | October 2, 2008 |
| Last updated | January 22, 2024 |
| Authorized official | Michael Berg, Assistant Secretary |
| Other names | Warren Skilled Nursing And Rehabilitation |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | LTC00733 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.