Organization Active NPI

SH Opco West Bay Manor LLC

Doing business as West Bay Retirement Living

  • Assisted Living Facility
  • Warwick, RI
National Provider Identifier
1467732370
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SH OPCO WEST BAY MANOR LLC
Doing business as
West Bay Retirement Living
Practice address
2783 W Shore Rd
Warwick, RI 02889-8659
Phone
(401) 739-7300
Fax
(401) 738-3488
NPI assigned
Aug 23, 2011
Organization subpart
Yes
Parent organization
BROOKDALE SENIOR LIVING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Mark W Ohlendorf
Title
Assistant Secretary
Phone
(414) 918-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X RI Primary

Addresses

Primary practice location

2783 W Shore Rd
Warwick, RI 02889-8659

Mailing address

2783 W Shore Rd
Warwick, RI 02889-8659
Phone (401) 739-7300

Other identifiers 1

IdentifierTypeStateIssuer
TBDMedicaidRI

Other names 1

  • West Bay Retirement Living Doing business as

National Provider Directory

National Provider Directory
Part of
Brookdale Senior Living Inc

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1467732370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 W SHORE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898659",
            "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 W SHORE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898659",
            "telephone_number": "401-739-7300",
            "fax_number": "401-738-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH OPCO WEST BAY MANOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TBD",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Bay Retirement Living",
            "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 Aug 23, 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.