NPI 1720268402 · live from the CMS NPI Registry
Epoch On Blackstone Boulevard, LLC
Skilled Nursing Facility in Providence, RI. National Provider Identifier 1720268402, active.
NPI record
| NPI | 1720268402 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 353 Blackstone Blvd, Providence, RI 02906 |
| Practice phone | 401-273-6565 |
| Mailing address | 51 Sawyer Rd, Suite 500, Waltham, MA 02453 |
| Enumerated | November 9, 2007 |
| Last updated | March 17, 2008 |
| Authorized official | Debora Pfaff, Cfo |
| Other names | Epoch Senior Healthcare On Blackstone Boulevard |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | LTC00724 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.