NPIMap

Organization Active NPI

Elmhurst Extended Care Facilities, Inc.

  • Skilled Nursing Facility
  • Providence, RI
National Provider Identifier
1164467221
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
LTC00663 Issued in RI
Legal business name
ELMHURST EXTENDED CARE FACILITIES, INC.
Practice address
50 Maude St
Providence, RI 02908-4325
Phone
(401) 456-2623
Fax
(401) 456-6862
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Mr. Richard E. Gamache
Title
VP/Adminstrator
Phone
(401) 456-2623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X LTC00663 RI Primary

Addresses

Primary practice location

50 Maude St
Providence, RI 02908-4325

Mailing address

50 Maude St
Providence, RI 02908-4325
Phone (401) 456-2623

Other identifiers 1

IdentifierTypeStateIssuer
4105084MedicaidRI

National Provider Directory

National Provider Directory

Locations

160 Bear Hill Rd
Cumberland, RI 02864
Phone (401) 456-2600

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1164467221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MAUDE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084325",
            "telephone_number": "401-456-2623",
            "fax_number": "401-456-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MAUDE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084325",
            "telephone_number": "401-456-2623",
            "fax_number": "401-456-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST EXTENDED CARE FACILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "GAMACHE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VP/ADMINSTRATOR",
        "authorized_official_telephone_number": "401-456-2623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105084",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.