Active NPI
Warwick Health Centre Inc.
- Skilled Nursing Facility
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 719
- Legal business name
- WARWICK HEALTH CENTRE INC.
- Practice address
- 109 W Shore Rd
Warwick, RI 02889-1102 - Phone
- (401) 739-9440
- Fax
- (401) 739-5792
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Arnold
- Title
- Coo
- Phone
- (401) 751-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 719 | RI | Primary |
Addresses
Primary practice location
109 W Shore Rd
Warwick, RI 02889-1102
Mailing address
109 W Shore Rd
Warwick, RI 02889-1102
Phone (401) 739-9440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WH-30941 | Medicaid | RI |
Other names 1
- West Shore Health Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071203000690 | RI | Part A Provider - Skilled Nursing Facility | 6406945187 | Practice locations: Warwick, RI |
Skilled nursing facility certification: CCN 415028
- Legal name
- WARWICK HEALTH CENTRE INC.
- Doing business as
- WEST SHORE HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 1, 1970
- Last certification
- Jun 7, 2024
- Beds
- 145
- Ownership / control type
- Corporation
- Multi-facility organization
- Health Concepts Inc.
- Organization structure
- Corporation
- Incorporated
- Jun 9, 1998 in RI
- Enrollment address
- 109W Shore Rd
Warwick, RI 02889-1102 - Nursing home name
- WEST SHORE HEALTH CENTER INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- West Shore Health Center Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 1, 1970
- Medicare certification status
- Active
- Certified beds
- 145
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D0083344 | West Shore Health Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Terry Carragher | Corporate Officer | Nov 15, 2007 | |
| Kelly Arnold | Operational/Managerial Control | Jan 20, 2017 | |
| Health Concepts LTD | Operational/Managerial Control | Dec 27, 1999 | |
| David M Ryan | 5% Or Greater Direct Ownership Interest | Nov 15, 2007 | 50% |
| Corporate Officer | Nov 15, 2007 | ||
| Elizabeth Fernandes Darosa | W-2 Managing Employee | Dec 14, 2015 | |
| Sally Ryan | 5% Or Greater Direct Ownership Interest | Nov 15, 2007 | 50% |
| Corporate Officer | Nov 15, 2007 | ||
| Corporate Director | Nov 15, 2007 | ||
| Pamela Gelfuso | W-2 Managing Employee | Sep 6, 2005 |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- East Providence, RI
- NPI 1457610552
Health Concepts LTD
-
- Skilled Nursing Facility
- West Kingston, RI
- NPI 1396792503
Health Concepts LTD
-
- Nursing Facility/Intermediate Care Facility
- Providence, RI
- NPI 1699717959
Health Concepts LTD
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1386689149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W SHORE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028891102",
"telephone_number": "401-739-9440",
"fax_number": "401-739-5792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W SHORE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028891102",
"telephone_number": "401-739-9440",
"fax_number": "401-739-5792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARWICK HEALTH CENTRE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "401-751-3800"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "RI",
"license": "719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WH-30941",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "West Shore Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "West Shore Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.