Blackstone Rehabilitation Hospital, Inc.

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

RHC02102 Issued in RI

Legal business name

BLACKSTONE REHABILITATION HOSPITAL, INC.

Practice address

116 Eddie Dowling Hwy
North Smithfield, RI 02896-7327

Phone

(401) 766-0800

Fax

(401) 762-3112

NPI assigned

Dec 13, 2011

Last updated

Dec 13, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

STEWARD MEDICAL HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. James Renna

Title

Cfo

Phone

(617) 419-4772

Specialties & licenses 1

Addresses

Other names 1

• Northern RI Rehab Management Associates, LP Other name

Tax ID family

Blackstone Rehabilitation Hospital Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blackstone Rehabilitation Hospital, Inc.

  • Cardiovascular Disease Physician
  • North Smithfield, RI
  • NPI 1417224767
  NPD tax ID

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1013285493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954712",
            "telephone_number": "401-769-4100",
            "fax_number": "401-765-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EDDIE DOWLING HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967327",
            "telephone_number": "401-766-0800",
            "fax_number": "401-762-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE REHABILITATION HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD MEDICAL HOLDINGS, LLC",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "RENNA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-419-4772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "RI",
            "license": "RHC02102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern RI Rehab Management Associates, LP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel James Becker, D.C.
• Sharon Nancy Benson, RNP-C
• Leah Rebeccah Berke
• Gina Bianchi, RN
• Melissa A Bibeault
• Blackstone Rehabilitation Hospital, Inc.
• Paul J Boorom Jr., MA CAGS
• Jessica Bouchard
• Amy-Lynn Boulay, LCSW
• Kristen Louise Bradshaw, PTA

• Rehabilitation Hospital in North Smithfield, RI
• Providers in North Smithfield, RI by specialty
• Rehabilitation Hospital in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.