Pocasset LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALR01478 Issued in RI

Legal business name

POCASSET LP

Practice address

12 Old Pocasset Lane
Pocasset Retirement Living
Johnston, RI 02919

Phone

(401) 421-6610

Fax

(401) 421-0074

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Mark Ohlendorf

Title

Chief Financial Officer (Cfo)

Phone

(414) 918-5403

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pocasset Bay Retirement Living Doing business as

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1205968419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST",
            "address_2": "SUITE 2300,",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53214",
            "telephone_number": "401-421-6610",
            "fax_number": "401-421-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 OLD POCASSET LANE",
            "address_2": "POCASSET RETIREMENT LIVING",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-421-6610",
            "fax_number": "401-421-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCASSET LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER (CFO)",
        "authorized_official_telephone_number": "414-918-5403"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "1440",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "ALR01478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PB54850",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pocasset Bay Retirement Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John A Phillip, MD
• Jessica L Piccoli
• Katherine Pierce, RN, FNP-C
• Steven Domenic Pirri Jr.
• Pocasset Bay Al Operator, LLC
• Podiatry Specialists of Ri
• Dieter Pohl, M.D.
• Lori G Polacek, MD
• Ann M Porto, PSY.D.
• Prospect Blackstone Valley Surgicare, LLC

• Assisted Living Facility in Johnston, RI
• Providers in Johnston, RI by specialty
• Assisted Living Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.