735 Putnam Pike Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC00734 Issued in RI

Legal business name

735 PUTNAM PIKE OPERATIONS LLC

Doing business as

Greenville Skilled Nursing and Rehabilitation

Practice address

735 Putnam Pike
Greenville, RI 02828-1435

Phone

(401) 949-1200

Fax

(401) 949-0968

NPI assigned

Oct 2, 2008

Last updated

May 27, 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

Michael T Berg

Title

Secretary

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenville Skilled Nursing and Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1093966608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 PUTNAM PIKE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281435",
            "telephone_number": "401-949-1200",
            "fax_number": "401-949-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PUTNAM PIKE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281435",
            "telephone_number": "401-949-1200",
            "fax_number": "401-949-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "735 PUTNAM PIKE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PP75164",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Skilled Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahmed Tarek Abdelaal
• Adcare Rhode Island, Inc.
• Adviniacare at Greenville LLC
• Elizabeth Anne Allen, PHD, BCBA, LBA
• Rebecca Jean Allen, MA, BCBA, LBA

• Skilled Nursing Facility in Greenville, RI
• Providers in Greenville, 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 May 27, 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.

Verify at the official NPI Registry.