South County Eden Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTH COUNTY EDEN OPERATIONS LLC

Practice address

740 Oak Hill Rd
North Kingstown, RI 02852-7205

Phone

(401) 294-4545

NPI assigned

Aug 11, 2022

Last updated

Aug 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Louis Gellis

Title

Member/Ceo

Phone

(917) 533-7241

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487382909. Details of each certification follow.

• CCN 415071 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 415071

Legal name

SOUTH COUNTY EDEN OPERATIONS LLC

Doing business as

LAKESIDE NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 27, 1998

Last certification

Apr 17, 2025

Beds

120

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Aug 19, 2022

Organization structure

LLCProprietary

Incorporated

Dec 20, 2021 in RI

Enrollment address

740 Oak Hill Rd
North Kingstown, RI 02852-7205

Nursing home name

SOUTH COUNTY EDEN OPERATIONS LLC DBA LAKESIDE NURSING AND REHABILITATION

Affiliated entity

EDEN HEALTHCARE

Listed as

South County Eden Operations LLC DBA Lakeside NursCCN 415071 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 27, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120103.6 residents per day on average

Chain

Eden Healthcare7 facilities in the chain

Penalties (3 years)

1Fines totaling $14,433

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1487382909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 OAK HILL RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028527205",
            "telephone_number": "401-294-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY EDEN OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "GELLIS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "MEMBER/CEO",
        "authorized_official_telephone_number": "917-533-7241"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@southcountynursing.com",
            "affiliation": "N",
            "address_1": "740 Oak Hill Rd",
            "city": "North Kingstown",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028527205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natasha Sopchak
• Frank Christopher Sorensen, M.ED LCDP LMHC
• Maria Sorensen, MA, LCDP, SAP
• Katelynn Sorrentino, LCDP
• South County Cardiology Associates, Inc.
• South County Eye Physicians and Surgeons Inc
• South County Nursing and Rehabilitation Center
• South County Physicians and Surgeons Inc - Optical Shope
• South County Psychiatry LLC
• South County SNF Operations LLC (South County Nursing and Rehabilitation Center)

• Skilled Nursing Facility in North Kingstown, RI
• Providers in North Kingstown, 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 Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.