Active NPI
SH Opco West Bay Manor LLC
Doing business as West Bay Retirement Living
- Assisted Living Facility
- Warwick, RI
National Provider Identifier
1467732370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TBD | Medicaid | RI |
Other names 1
- West Bay Retirement Living
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.