NPIMap

Organization Active NPI

Kent County Memorial Hospital

Doing business as Kent County Hospital Rehab Unit

  • Rehabilitation Hospital Unit
  • Warwick, RI
National Provider Identifier
1023017944
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
KENT COUNTY MEMORIAL HOSPITAL
Doing business as
Kent County Hospital Rehab Unit
Practice address
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone
(401) 737-7010
NPI assigned
Jul 21, 2005
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
James Burke
Title
Vice President of Finance
Phone
(401) 737-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

455 Toll Gate Rd
Warwick, RI 02886-2759

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Other names 1

  • Kent County Hospital Rehab Unit Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071201000206 RI Part A Provider - Hospital 2668377078 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cranston, RI; Warwick, RI; Providence, RI; Pawtucket, RI; East Greenwich, RI
O20071201000207 RI Part A Provider - Hospital 2668377078 Practice locations: Warwick, RI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1023017944. Details of each certification follow.

Hospital certification: CCN 410009

Legal name
KENT COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 29, 2016
Beds
359
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 25, 1946 in RI
Enrollment address
455 Toll Gate Rd
Warwick, RI 28862759
Main/Primary Hospital Location
Hospital subgroups
Acute care, Rehabilitation, Rehabilitation unit

Hospital certification: CCN 41T009

Legal name
KENT COUNTY MEMORIAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Apr 25, 1946 in RI
Enrollment address
455 Toll Gate Rd
Warwick, RI 28862759
Hospital Rehabilitation Unit
Hospital subgroups
Acute care, Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Kent County Memorial HospitalCCN 410009 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Kent County Memorial HospitalCCN 41T009 · All quality measures
Ownership
For profit
Certified
Oct 1, 1996

National Provider Directory

National Provider Directory
Tax ID family
Kent Hosp Ekg Dept4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member organizations 2

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

Locations

1220 Pontiac Ave
Ste 101
Cranston, RI 02920
Phone (401) 943-4660

1220 Pontiac Ave
Ste 301
Cranston, RI 02920
Phone (401) 943-4660

1351 S County Trl
Bldg 2
East Greenwich, RI 02818
Phone (401) 884-2008

11 Knight St
Bldg D15
Warwick, RI 02886
Phone (401) 732-0022

15 Health Ln
Bldg 2D
Warwick, RI 02886
Phone (401) 736-4646

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andrew Edward Burke Individual W-2 Managing EmployeeFinance Jan 1, 2024
Ana Fulton Individual Corporate Director Dec 16, 2021
Ashley Taylor Individual Corporate OfficerGeneral Counsel/Officer/Ast Secreta Jan 1, 2025
Corporate OfficerGeneral Counsel/Officer/Assistant S Jan 1, 2025
R Stephen Manty Individual Corporate OfficerVice Chair & Treasurer Jan 1, 2020
Edward J Cooney Individual Corporate DirectorDirector/Board Jan 1, 2025
Michael E Wagner Individual Corporate OfficerOfficer Ceo Jan 1, 2024
W-2 Managing EmployeePresident and Ceo Jan 1, 2024
Methodius G Tuuli Individual Corporate DirectorDirector/Board Jan 1, 2025
Corporate Officer Jan 1, 2025
Joy K Cave Individual Corporate DirectorDirector/Board Jan 1, 2026
Care New England Health Systems Organization, Providence, RI Holding company Operational/Managerial Control Feb 1, 1996 100%
Operational/Managerial Control Feb 1, 1996
James Michael Burke Individual Corporate Officer Oct 1, 2015
W-2 Managing EmployeeVP of Finance, Med/Surg Hospitals Oct 1, 2015
Corporate Officer Nov 2, 2015
W-2 Managing EmployeeVP Finance Acute Med/Surg Hosp Nov 2, 2015
Kevin E Baill Individual Corporate Director Jan 16, 2019
James a Ruggieri Individual Corporate DirectorDirector/Board Jan 1, 2026
Krysten Mary Blanchette Individual Contracted Managing Employee Jan 1, 2015
W-2 Managing EmployeeVP Revenue Cycle Jan 1, 2015
Sharon Conard-Wells Individual Corporate Director Apr 23, 2015
Carolynn Masters Individual Corporate DirectorDirector Jan 1, 2024
Dawn Lynn Rodgers Individual W-2 Managing EmployeeCredentialing Oct 15, 2018
W-2 Managing EmployeeCredentialing Jan 1, 2024
Gary E Furtado Individual Corporate OfficerChairperson Oct 1, 2013
James a Botvin Individual Corporate DirectorSecretary Jan 1, 2015
Heather Rose Mattias Individual W-2 Managing EmployeeContracting Jan 1, 2024
Patrick J Murray Individual Corporate Director Oct 1, 2013
Lisa Marie Colombo Individual Corporate DirectorDirector/Board Jan 1, 2026
Peter R Phillips Individual Corporate DirectorDirector Jan 1, 2024
Judith Remondi Individual Corporate Director Nov 1, 2020
Todd a Conklin Individual Corporate DirectorDirector Jan 1, 2024
W-2 Managing EmployeeChief Financial Officer Jan 1, 2024
W-2 Managing EmployeeEvp/Cfo Jan 1, 2024

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 92

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 92

Affiliated clinicians 953

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 953

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1023017944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-737-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-737-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "401-737-7010"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent County Hospital Rehab Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kent County Hospital Rehab Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.