NPI 1285242610 · live from the CMS NPI Registry
Pawtucket Snf Operator LLC
Skilled Nursing Facility in Pawtucket, RI. National Provider Identifier 1285242610, active.
NPI record
| NPI | 1285242610 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 70 Gill Ave, Pawtucket, RI 02861 |
| Practice phone | 401-722-7900 |
| Enumerated | July 22, 2020 |
| Last updated | July 22, 2020 |
| Authorized official | Jeffrey Kagan, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.