Burrillville Health Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BURRILLVILLE HEALTH CENTER

Doing business as

Bayberry Commons

Practice address

181 Davis Dr
Pascoag, RI 02859-3507

Phone

(401) 568-0600

Fax

(401) 568-3080

NPI assigned

Jun 10, 2006

Last updated

Nov 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Arnold

Title

Coo

Phone

(401) 751-3800

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Bayberry Commons Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073554812. Details of each certification follow.

• CCN 415080 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 415080

Legal name

BURRILLVILLE HEALTH CENTER

Doing business as

BAYBERRY COMMONS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 11, 1985

Last certification

Jul 11, 2024

Beds

110

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Health Concepts, LTD

Organization structure

PartnershipProprietary

Incorporated

Sep 27, 1983 in RI

Enrollment address

181 Davis Drive
Pascoag, RI 02859-3507

Nursing home name

BAYBERRY COMMONS

Listed as

Bayberry CommonsCCN 415080 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 11, 1985

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11097.0 residents per day on average

Penalties (3 years)

3Fines totaling $51,948

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 7

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

Facilities with the same owner 4

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

• 198 Waterman Avenue LLC

  dba Eastgate Nursing & Rehabilitaion Center

  • Skilled Nursing Facility
  • East Providence, RI
  • NPI 1457610552

  Health Concepts LTD

  CMS ownership
• Allens Health Centre Inc

  dba South Kingstown Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • West Kingston, RI
  • NPI 1396792503

  Health Concepts LTD

  CMS ownership
• Elmwood Health Center Inc

  dba Elmwood Nursing & Rehabilitation Center

  • Nursing Facility/Intermediate Care Facility
  • Providence, RI
  • NPI 1699717959

  Health Concepts LTD

  CMS ownership
• Warwick Health Centre Inc.

  dba West Shore Health Center

  • Skilled Nursing Facility
  • Warwick, RI
  • NPI 1386689149

  Health Concepts LTD

  CMS ownership

Affiliated clinicians 1

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

• Ralph F Santoro, M.D.

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1710098249

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1073554812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 DAVIS DR",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028593507",
            "telephone_number": "401-568-0600",
            "fax_number": "401-568-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 DAVIS DR",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028593507",
            "telephone_number": "401-568-0600",
            "fax_number": "401-568-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURRILLVILLE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "401-751-3800"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "RI",
            "license": "LTC00651",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLAN",
            "identifier": "7100105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "401581",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105080",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "7101152",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bayberry Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig A Bowen, PHARM.D
• Susan Elizabeth Boyd, MS,RD,LDN,CDOE
• Breakwater Counseling, LLC
• Robert James Brothers, LCDP
• Leslie Bumpus, DDS
• Burrillville Nursing Home Inc (Pine Grove Health Center)
• Janet Linnehan Cardillo, LMHC, LCDP
• Joseph Alan Casey, DDS
• John Joseph Charette, LICSW
• Purvi Chokshi, MD

• Skilled Nursing Facility in Pascoag, RI
• Providers in Pascoag, RI by specialty
• Skilled Nursing Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.