Harborside Rhode Island Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC 00710 Issued in RI

Legal business name

HARBORSIDE RHODE ISLAND LIMITED PARTNERSHIP

Doing business as

Pawtuxet Village Care and Rehabilitation Center

Practice address

270 Post Rd
Warwick, RI 02888-1518

Phone

(401) 467-3555

Fax

(401) 781-0380

NPI assigned

Aug 3, 2006

Last updated

Oct 1, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

SUNBRIDGE HEALTHCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

William A Mathies

Title

President Director

Phone

(505) 821-3355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pawtuxet Village Care and Rehabilitation Center Doing business as

Part of

Sunrise HLTH Care Corp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Harborside Rhode Island Limited Partnership

  dba Greenwood Care and Rehabilitation Center

  • Skilled Nursing Facility
  • Warwick, RI
  • NPI 1003823626

  Member Of

  NPD member

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1275540866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUN AVE NE",
            "address_2": "COMPLIANCE DEPARTMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094373",
            "telephone_number": "505-468-5604",
            "fax_number": "505-468-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881518",
            "telephone_number": "401-467-3555",
            "fax_number": "401-781-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE RHODE ISLAND LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE CORPORATION",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "MATHIES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT DIRECTOR",
        "authorized_official_telephone_number": "505-821-3355"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC 00710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HH26198",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pawtuxet Village Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Hanson, MA, CAGS
• Lauren Hanson
• Melvin Eric Hanzel, DMD
• Happy and Free Healing
• Harborside Rhode Island Limited Partnership (Greenwood Care and Rehabilitation Center)
• Mackenzie Hardman, LMFT
• Elizabeth Harmon-Lallier
• Harmony Hospice Care LLC (Harmony Hospice)
• Deborah L. Harrall-McDade, LICSW
• Eric Harrington, D.O.

• Skilled Nursing Facility in Warwick, RI
• Providers in Warwick, RI by specialty
• Skilled Nursing Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.