NPI 1457610552 · live from the CMS NPI Registry
198 Waterman Avenue LLC
Skilled Nursing Facility in East Providence, RI. National Provider Identifier 1457610552, active.
NPI record
| NPI | 1457610552 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 198 Waterman Ave, East Providence, RI 02914 |
| Practice phone | 401-751-3800 |
| Enumerated | May 9, 2012 |
| Last updated | November 8, 2024 |
| Authorized official | Kelly Arnold, Coo |
| Other names | Eastgate Nursing & Rehabilitaion Center |
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.