Organization Active NPI

Forest Farm Health Care Center I LLC

  • Assisted Living Facility
  • Middletown, RI
National Provider Identifier
1184714602
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALR01308 Issued in RI
Legal business name
FOREST FARM HEALTH CARE CENTER I LLC
Practice address
201 Forest Ave
Middletown, RI 02842-4625
Phone
(401) 847-2777
Fax
(401) 848-7403
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Karl H Lyon
Title
Administrator Owner
Phone
(401) 847-2777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALR01308 RI Primary
Skilled Nursing Facility 314000000X 00737 RI

Addresses

Primary practice location

201 Forest Ave
Middletown, RI 02842-4625

Mailing address

201 Forest Ave
Middletown, RI 02842-4625
Phone (401) 847-2777

Other identifiers 3

IdentifierTypeStateIssuer
FF03657MedicaidRI
FF40453MedicaidRI
4105040MedicaidRI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184714602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424625",
            "telephone_number": "401-847-2777",
            "fax_number": "401-848-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FOREST AVE",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424625",
            "telephone_number": "401-847-2777",
            "fax_number": "401-848-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST FARM HEALTH CARE CENTER I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "401-847-2777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "ALR01308",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "00737",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FF03657",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FF40453",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105040",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.