Pawtucket SNF Operator LLC

Skilled Nursing Facility · Pawtucket, RI

Organization Active NPI

NPI number 1285242610

Practice location

70 Gill Ave
Pawtucket, RI 02861-4315
Phone
(401) 722-7900

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NPI record

NPI
1285242610
Entity type
Organization (Type 2)
Enumeration date
July 22, 2020
Last updated
July 22, 2020
Certified
July 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Authorized official

Name
Jeffrey Kagan
Title
Owner
Phone
(410) 877-6630

About Pawtucket SNF Operator LLC

Pawtucket SNF Operator LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 70 Gill Ave, Pawtucket, RI 02861-4315. The NPI number 1285242610 was assigned on July 22, 2020 and the record was last updated on July 22, 2020.

The authorized official for this organization is Jeffrey Kagan, Owner.

Frequently asked questions

What is the NPI number of Pawtucket SNF Operator LLC?

The NPI number is 1285242610.

What is the phone number of Pawtucket SNF Operator LLC?

The phone number listed for the practice location is (401) 722-7900.

Where is Pawtucket SNF Operator LLC located?

70 Gill Ave, Pawtucket, RI 02861-4315.

What is the taxonomy code for Pawtucket SNF Operator LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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