Organization Active NPI

Friendly Eden Operations LLC

  • Skilled Nursing Facility
  • Woonsocket, RI
National Provider Identifier
1184487290
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FRIENDLY EDEN OPERATIONS LLC
Practice address
303 Rhodes Ave
Woonsocket, RI 02895-2821
Phone
(401) 769-7220
NPI assigned
Feb 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Mr. Louis Gellis
Title
Owner
Phone
(917) 533-7241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

303 Rhodes Ave
Woonsocket, RI 02895-2821

Mailing address

1904 Avenue M
Brooklyn, NY 11230-6202
Phone (917) 533-7241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240319002107 RI Part A Provider - Skilled Nursing Facility 3375980915 Practice locations: Woonsocket, RI

Skilled nursing facility certification: CCN 415044

Legal name
FRIENDLY EDEN OPERATIONS LLC
Doing business as
THE FRIENDLY HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1979
Last certification
Oct 4, 2024
Beds
126
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
303 Rhodes Ave
Woonsocket, RI 02895-2821
Nursing home name
THE FRIENDLY HOME

National Provider Directory

National Provider Directory

Locations

1904 Avenue M
Brooklyn, NY 11230

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Lindsey Bouchard Individual W-2 Managing EmployeeAd; Jan 31, 2024
Louis Gellis Individual 5% Or Greater Direct Ownership Interest Feb 7, 2023 100%
Corporate OfficerCeo Feb 7, 2023 100%
OtherCeo and Owner Feb 7, 2023 100%
Altaf Girach Individual Contracted Managing EmployeeMD; Jan 31, 2024
Friendly Eden Reality LLC Organization, Brooklyn, NY Created for acquisition, LLC, For-profit Other Jan 31, 2024 100%
Joseph Pollack Individual Contracted Managing EmployeeChief Financial Officer Feb 7, 2023
Corporate OfficerChief Financial Officer Feb 7, 2023
Optimumbank Organization, Fort Lauderdale, FL Corporation, Owned by another organization or individual 5% Or Greater Mortgage Interest Jan 31, 2024 80%

Owners & managing parties with NPI records 1

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

Affiliated clinicians 4

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Friendly HomeCCN 415044
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
126111.3 residents per day on average
Penalties (3 years)
4Fines totaling $107,709

Processed by Care Compare on Aug 1, 2026.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1184487290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306202",
            "telephone_number": "917-533-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 RHODES AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952821",
            "telephone_number": "401-769-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY EDEN OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "GELLIS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-533-7241",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.