NPI 1457776452 · live from the CMS NPI Registry
Prospect Chartercare Elmhurst, LLC
Skilled Nursing Facility in Providence, RI. National Provider Identifier 1457776452, active.
NPI record
| NPI | 1457776452 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 50 Maude St, Providence, RI 02908 |
| Practice phone | 401-456-2623 |
| Enumerated | February 27, 2014 |
| Last updated | January 15, 2021 |
| Authorized official | Robert Elders, Secretary |
| Other names | Elmhurst Extended Care Facility |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | LTC00663 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.