Harborside Rhode Island Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC 00709 Issued in RI

Legal business name

HARBORSIDE RHODE ISLAND LIMITED PARTNERSHIP

Doing business as

Greenwood Care and Rehabilitation Center

Practice address

1139 Main Ave
Warwick, RI 02886-1940

Phone

(401) 739-6600

Fax

(401) 738-0310

NPI assigned

Aug 3, 2006

Last updated

Aug 29, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

SUNBRIDGE HEALTHCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Michael T Berg

Title

Officer

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenwood Care and Rehabilitation Center Doing business as

Part of

Northview Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sunbridge Healthcare LLC

  dba Columbia Crest Center

  • Skilled Nursing Facility
  • Moses Lake, WA
  • NPI 1982651758

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Harborside Rhode Island Limited Partnership

  dba Pawtuxet Village Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Warwick, RI
  • NPI 1275540866

  Member Of

  NPD member

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1003823626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUN AVE NE",
            "address_2": "COMPLIANCE DEPARTMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094373",
            "telephone_number": "505-468-5604",
            "fax_number": "505-468-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 MAIN AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861940",
            "telephone_number": "401-739-6600",
            "fax_number": "401-738-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE RHODE ISLAND LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE CORPORATION",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC 00709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HH26199",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenwood Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Marie-Fiore Hanson, LMFT
• Kristin Hanson, MA, CAGS
• Lauren Hanson
• Melvin Eric Hanzel, DMD
• Happy and Free Healing
• Harborside Rhode Island Limited Partnership (Pawtuxet Village Care and Rehabilitation Center)
• Mackenzie Hardman, LMFT
• Elizabeth Harmon-Lallier
• Harmony Hospice Care LLC (Harmony Hospice)
• Deborah L. Harrall-McDade, LICSW

• Skilled Nursing Facility in Warwick, RI
• Providers in Warwick, RI by specialty
• Skilled Nursing Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.