Adviniacare Pawtucket Pleasant Rehab Center LLC
Organization Active NPI Skilled Nursing Facility · Pawtucket, RI
NPI 1225860778 · NPPES record last updated Sep 9, 2025
Key facts
- NPI
- 1225860778
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- ADVINIACARE PAWTUCKET PLEASANT REHAB CENTER LLC
- Practice address
- 544 Pleasant St
Pawtucket, RI 02860-5726 - Phone
- (401) 725-8888
- NPI assigned
- Aug 14, 2024
- Organization subpart
- No
Authorized official
- Name
- Jennifer Spector
- Title
- VP of Revenue Cycle Management
- Phone
- (847) 262-3800
Owners & managing parties with NPI records 1
-
Julius Tanyi V Tabe, M.D
Facilities with the same owner 8
Affiliated clinicians 2
-
Shahzad Khurshid, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Adviniacare Pawtucket Pleasant Rehab Center, LLC
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★★☆ 4 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 1, 1969
- Medicare certification status
- Active
- Certified beds
- 129 · 122.2 residents per day on average
- Chain
- Adviniacare
- Penalties (3 years)
- 2 · fines totaling $21,964
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D0718087 | Adviniacare Pawtucket Pleasant | Certificate of waiver | Oct 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Skilled nursing facility certification: CCN 415027
- Legal name
- ADVINIACARE PAWTUCKET PLEASANT REHAB CENTER LLC
- Doing business as
- ADVINIACARE PAWTUCKET PLEASANT REHAB CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 1, 1969
- Last certification
- Jul 19, 2024
- Beds
- 129
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Adviniacare
- Organization structure
- LLC · Proprietary
- Enrollment address
- 544 Pleasant St
Pawtucket, RI 02860-5726 - Nursing home name
- ADVINIACARE PAWTUCKET PLEASANT REHAB CENTER, LLC
- Affiliated entity
- ADVINIACARE
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Spector |
Corporate Officer |
Feb 1, 2025 | 100% |
| Operational/Managerial Control | Feb 1, 2025 | ||
| Adp of the SNF | Feb 1, 2025 | ||
| Olivia Russo |
Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Feb 1, 2025 | ||
| Pointe Group Care LLC |
Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Mar 13, 2025 | ||
| Belinda Montessi |
Operational/Managerial Control | Feb 1, 2025 | |
| Managing Control - Governing Body |
Feb 1, 2025 | ||
| Adp of the SNF | Feb 1, 2025 | ||
| David a Berkowitz Revoc TR David Berkowitz Ttee |
Direct Ownership Interest | Feb 1, 2025 | 33% |
| Caterina M Labella |
Corporate Officer |
Feb 1, 2025 | 100% |
| Operational/Managerial Control | Feb 1, 2025 | ||
| Adp of the SNF | Feb 1, 2025 | ||
| Benjamin Berkowitz |
Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Feb 1, 2025 | ||
| Direct Ownership Interest | Feb 1, 2025 | 33% | |
| Steven Turofsky |
Operational/Managerial Control | Feb 1, 2025 | |
| Raymond Talamona |
Managing Control - Governing Body |
Feb 1, 2025 | |
| Adp of the SNF | Feb 1, 2025 | ||
| Yosef Meystel Declaration of TR of Yosef Meystel Ttee |
Direct Ownership Interest | Feb 1, 2025 | 33% |
| Julius Tanyi V Tabe |
Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Feb 1, 2025 | ||
| Naftali Wilhelm |
Operational/Managerial Control | Feb 1, 2025 | |
| Adp of the SNF | Feb 1, 2025 | ||
| Curis Services LLC |
Adp of the SNF | Feb 1, 2025 | |
| Frederick S Frankel Trust |
Direct Ownership Interest | Feb 1, 2025 | 1% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250514001254 | RI | Part a Provider - Skilled Nursing Facility | 1658899695 | Practice locations: Pawtucket, RI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
544 Pleasant St
Pawtucket, RI 02860-5726
Mailing address
4655 W Chase Ave
Lincolnwood, IL 60712-1605
Phone (847) 262-3800
Other names
- AdviniaCare Pawtucket Pleasant Rehab Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Pawtucket, RI
- Yorisola Ademoye
- Oludola Adesina
- Falashade F Adewuyi
- Mayumi R. Adriano
- Abena Adu Gyamfi
- Aeg Rhode Island Professional, PC
- Affinity Physicians LLC.
- Agarcia & Co Therapeutic Consulting
- Cintia Agues
- Jamie Aguilar
All providers in Pawtucket, RI · Skilled Nursing Facility in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.