Active NPI
Adviniacare Kingston Rehab Center LLC
- Skilled Nursing Facility
- West Kingston, RI
National Provider Identifier
1013749563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ADVINIACARE KINGSTON REHAB CENTER LLC
- Practice address
- 415 Gardiner Rd
West Kingston, RI 02892-1047 - Phone
- (401) 295-8520
- NPI assigned
- Aug 14, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jennifer Spector
- Title
- VP of Revenue Cycle Management
- Phone
- (847) 262-3800
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
415 Gardiner Rd
West Kingston, RI 02892-1047
Mailing address
4655 W Chase Ave
Lincolnwood, IL 60712-1605
Phone (847) 262-3800
Other names 1
NPPES NPI Registry- AdviniaCare Kingston Rehab Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2024.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723593600000",
"number": "1013749563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4655 W CHASE AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121605",
"telephone_number": "847-262-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 GARDINER RD",
"city": "WEST KINGSTON",
"state": "RI",
"postal_code": "028921047",
"telephone_number": "401-295-8520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVINIACARE KINGSTON REHAB CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-14",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A",
"authorized_official_last_name": "SPECTOR",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "847-262-3800"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AdviniaCare Kingston Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Kingston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.