Organization Active NPI

Cortland Place Health Center, Inc

  • Skilled Nursing Facility
  • Greenville, RI
National Provider Identifier
1043337330
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CORTLAND PLACE HEALTH CENTER, INC
Practice address
20 Austin Avenue
Greenville, RI 02828
Phone
(401) 949-3880
Fax
(401) 949-4170
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Mr. Norman P Audino Jr.
Title
Owner
Phone
(401) 949-3880

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALR01379 RI
Skilled Nursing Facility 314000000X LTC00704 RI
Skilled Nursing Facility 314000000X RI Primary

Addresses

Primary practice location

20 Austin Avenue
Greenville, RI 02828

Mailing address

20 Austin Avenue
Greenville, RI 02828
Phone (401) 949-3880

Other identifiers 3

IdentifierTypeStateIssuer
5432, 402017, 5309OtherRIRHODE ISLAND BLUECROSS
7109172OtherUNITED HEALTHCARE
4105123MedicaidRI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1043337330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AUSTIN AVENUE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "02828",
            "telephone_number": "401-949-3880",
            "fax_number": "401-949-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AUSTIN AVENUE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "02828",
            "telephone_number": "401-949-3880",
            "fax_number": "401-949-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLAND PLACE HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "AUDINO",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-949-3880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "ALR01379",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00704",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND BLUECROSS",
            "identifier": "5432, 402017, 5309",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "7109172",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105123",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.