Heatherwood Ri LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC00679 Issued in RI

Legal business name

HEATHERWOOD RI LLC

Doing business as

Heatherwood Rehabilitation & Health Care Center

Practice address

398 Bellevue Ave
Newport, RI 02840-6955

Phone

(401) 849-6600

Fax

(401) 845-6969

NPI assigned

May 15, 2014

Last updated

Feb 17, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ATHENA HEALTH CARE ASSOCIATES INCAs reported in NPPES

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

Authorized official

Name

Lawrence G. Santilli

Title

Manager

Phone

(860) 751-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heatherwood Rehabilitation & Health Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Part of

Athena Health Care Associates Inc

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1427469105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 BELLEVUE AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028406955",
            "telephone_number": "401-849-6600",
            "fax_number": "401-845-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 BELLEVUE AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028406955",
            "telephone_number": "401-849-6600",
            "fax_number": "401-845-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHERWOOD RI LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHENA HEALTH CARE ASSOCIATES INC",
        "enumeration_date": "2014-05-15",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-751-3900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HE99390",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heatherwood Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heatherwood Rehabilitation & Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth J Hayes, MA,LMHC,LCDP
• John Frederick Hayes III, D.C.
• Jennifer Claire Healey, LMHC
• Christopher J Heath, PH.D.
• Heatherwood Nursing and Rehabilitation Center Inc (Heatherwood Nursing and Subacute Center Inc)
• Glenn Arnold Hebel, MD
• Jordan F Hebert, D.O.
• John Philip Heffernan, M.D.
• Charles W Heffner, PHD
• Susan Heffner, LICSW

• Skilled Nursing Facility in Newport, RI
• Providers in Newport, 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 Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.