S H Opco Greenwich Bay Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

PENDING Issued in RI

Legal business name

S H OPCO GREENWICH BAY MANOR LLC

Doing business as

Greenwich Bay Retirement Licing

Practice address

945 Main St
East Greenwich, RI 02818-3150

Phone

(401) 885-3334

Fax

(401) 885-1260

NPI assigned

Aug 16, 2011

Organization subpart

Yes

Parent organization

BROOKDALE SENIOR LIVING INCAs reported in NPPES

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

Authorized official

Name

Mark W Ohlendorf

Title

Assistant Secretary

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenwich Bay Retirement Licing Doing business as

Part of

Brookdale Senior Living Inc

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1316226764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 MAIN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183150",
            "telephone_number": "401-885-3334",
            "fax_number": "401-885-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 MAIN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183150",
            "telephone_number": "401-885-3334",
            "fax_number": "401-885-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S H OPCO GREENWICH BAY MANOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TBD",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwich Bay Retirement Licing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Ann Rugg, RN
• Jessica Dair Russell, PA-C
• Ryan S Allen DO LLC
• Deborah Ann Ryan, N.P.
• Zachary Daniel Ryan, LICSW
• Julian Michael Saad, PHD
• Pooyan Sadr Eshkevari, MD, DDS
• Saint Elizabeth Home East Greenwich
• Lindsay Rose Sakellarios
• Anne Salisbury

• Assisted Living Facility in East Greenwich, RI
• Providers in East Greenwich, 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 Aug 17, 2011; 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.