Senior Lifestyle Horizon Bay LTD

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1423 Issued in RI

Legal business name

SENIOR LIFESTYLE HORIZON BAY LTD

Practice address

2783 West Shore Road
Warwick, RI 02889-8652

Phone

(401) 739-7300

Fax

(401) 738-3488

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl A Kingma

Title

Executive Director

Phone

(401) 739-7300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417080334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 WEST SHORE ROAD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898652",
            "telephone_number": "401-739-7300",
            "fax_number": "401-738-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 WEST SHORE ROAD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898652",
            "telephone_number": "401-739-7300",
            "fax_number": "401-738-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIFESTYLE HORIZON BAY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINGMA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "401-739-7300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "1423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WB41518",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Christian Sellechio, O.D.
• Patricia M. Seltzer, R.N.,B.S.,C.D.O.E.
• Semaj Health and Wellness LLC
• Nicole Senechal
• Senior Helpers of Rhode Island, LLC
• Tatyana Serednyakova, DO
• Robert Joseph Settipane, MD
• Chelsea Sevigny, DPT
• SH Opco West Bay Manor LLC
• Gina Shah, PHARMD

• Assisted Living Facility in Warwick, RI
• Providers in Warwick, 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 22, 2020; 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.