Woodland Convalescent Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC00580 Issued in RI

Legal business name

WOODLAND CONVALESCENT CENTER INC

Practice address

70 Woodland Rd
North Smithfield, RI 02896-8204

Phone

(401) 765-0499

Fax

(401) 765-1225

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Mary-Ann Abbruzzi

Title

President/Administrator

Phone

(401) 765-0499

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003897828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WOODLAND RD",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028968204",
            "telephone_number": "401-765-0499",
            "fax_number": "401-765-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WOODLAND RD",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028968204",
            "telephone_number": "401-765-0499",
            "fax_number": "401-765-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND CONVALESCENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABBRUZZI",
        "authorized_official_first_name": "MARY-ANN",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "401-765-0499"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105103",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "50742",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP HEALTH PLAN",
            "identifier": "412727",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "0550090001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in North Smithfield, RI
• Skilled Nursing Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.