NPIMap

Organization Active NPI

198 Waterman Avenue LLC

  • Skilled Nursing Facility
  • East Providence, RI
National Provider Identifier
1457610552
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
198 WATERMAN AVENUE LLC
Practice address
198 Waterman Ave
East Providence, RI 02914-3523
Phone
(401) 751-3800
NPI assigned
May 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

198 Waterman Ave
East Providence, RI 02914-3523

Mailing address

198 Waterman Ave
East Providence, RI 02914-3523
Phone (401) 751-3800

Other names 1

  • Eastgate Nursing & Rehabilitaion Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
O20121231000282 RI Part A Provider - Skilled Nursing Facility 7315190261 Practice locations: East Providence, RI

Skilled nursing facility certification: CCN 415083

Legal name
198 WATERMAN AVENUE LLC
Doing business as
EASTGATE NURSING & REHABILTATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 2, 1988
Last certification
Nov 21, 2024
Beds
68 (60 certified)
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Feb 16, 2011 in RI
Enrollment address
198 Waterman Ave
East Providence, RI 02914-3523
Nursing home name
EASTGATE NURSING & REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Eastgate Nursing & Rehabilitation CenterCCN 415083
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 2, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6061.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin Ryan Individual 5% Or Greater Direct Ownership Interest Sep 1, 2012 33.33%
Corporate Officer Sep 1, 2012
Terry Carragher Individual Corporate Officer Sep 1, 2012
Kelly Arnold Individual W-2 Managing EmployeeChief Operating Officer Jan 20, 2017
Alan Richards Individual W-2 Managing EmployeeAdministrator Sep 13, 2020
Health Concepts LTD Organization, Providence, RI Corporation, For-profit Operational/Managerial Control Sep 1, 2012
David M Ryan Individual 5% Or Greater Direct Ownership Interest Sep 1, 2012 33.33%
Corporate Officer Sep 1, 2012
Anna Biswas Individual W-2 Managing Employee Sep 1, 2012
Sally Ryan Individual 5% Or Greater Direct Ownership Interest Sep 1, 2012 33.33%
Corporate Officer Sep 1, 2012

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1457610552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143523",
            "telephone_number": "401-751-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143523",
            "telephone_number": "401-751-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "198 WATERMAN AVENUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "Eastgate Nursing & Rehabilitaion Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.