NPIMap

Organization Active NPI

Blackstone Rehabilitation Hospital, Inc.

  • Cardiovascular Disease Physician
  • North Smithfield, RI
National Provider Identifier
1417224767
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
RHC02102 Issued in RI
Legal business name
BLACKSTONE REHABILITATION HOSPITAL, INC.
Practice address
116 Eddie Dowling Hwy
North Smithfield, RI 02896-7327
Phone
(401) 766-0800
Fax
(401) 762-3112
NPI assigned
Nov 30, 2011
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
STEWARD MEDICAL HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Mr. James Renna
Title
Cfo
Phone
(617) 419-4772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X RHC02102 RI Primary

Addresses

Primary practice location

116 Eddie Dowling Hwy
North Smithfield, RI 02896-7327

Mailing address

196 Cass Ave
Woonsocket, RI 02895-4712
Phone (401) 769-4100

Other names 1

  • Northern RI Rehab Management Associates, LP - Internal Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Blackstone Rehabilitation Hospital Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1417224767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954712",
            "telephone_number": "401-769-4100",
            "fax_number": "401-765-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EDDIE DOWLING HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967327",
            "telephone_number": "401-766-0800",
            "fax_number": "401-762-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE REHABILITATION HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD MEDICAL HOLDINGS, LLC",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "RENNA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-419-4772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "RHC02102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern RI Rehab Management Associates, LP - Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.