Active NPI
Friendly Eden Operations LLC
- Skilled Nursing Facility
- Woonsocket, RI
National Provider Identifier
1184487290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 303 Rhodes Ave
Woonsocket, RI 02895-2821 - Nursing home name
- THE FRIENDLY HOME
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lindsey Bouchard | W-2 Managing Employee | Jan 31, 2024 | |
| Louis Gellis | 5% Or Greater Direct Ownership Interest | Feb 7, 2023 | 100% |
| Corporate Officer | Feb 7, 2023 | 100% | |
| Other | Feb 7, 2023 | 100% | |
| Altaf Girach | Contracted Managing Employee | Jan 31, 2024 | |
| Friendly Eden Reality LLC | Other | Jan 31, 2024 | 100% |
| Joseph Pollack | Contracted Managing Employee | Feb 7, 2023 | |
| Corporate Officer | Feb 7, 2023 | ||
| Optimumbank | 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.
-
- Internal Medicine Physician
- Cumberland, RI
- NPI 1801982491
Contracted Managing Employee
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 Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 1979
- Medicare certification status
- Active
- Certified beds
- 126
- Penalties (3 years)
- 4
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.