Organization Active NPI

Hopkins Manor, LTD.

  • Skilled Nursing Facility
  • North Providence, RI
National Provider Identifier
1003818063
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
598 Issued in RI
Legal business name
HOPKINS MANOR, LTD.
Practice address
610 Smithfield Road
North Providence, RI 02904-3899
Phone
(401) 353-6300
Fax
(401) 353-8165
NPI assigned
Jun 2, 2005
Last updated
Jul 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mark Steven Levesque, MS, NHA
Title
Administrator
Phone
(401) 353-6300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 596 RI
Skilled Nursing Facility 314000000X 598 RI Primary

Addresses

Primary practice location

610 Smithfield Road
North Providence, RI 02904-3899

Mailing address

610 Smithfield Road
North Providence, RI 02904-3899
Phone (401) 353-6300

Other identifiers 1

IdentifierTypeStateIssuer
4105035MedicaidRI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1003818063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SMITHFIELD ROAD",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043899",
            "telephone_number": "401-353-6300",
            "fax_number": "401-353-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SMITHFIELD ROAD",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043899",
            "telephone_number": "401-353-6300",
            "fax_number": "401-353-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPKINS MANOR, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-353-6300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "596",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105035",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.