St. Joseph Health Services of Rhode Island

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC00698 Issued in RI

Legal business name

ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND

Practice address

21 Peace St
Providence, RI 02907-1510

Phone

(401) 456-3309

Fax

(401) 456-3762

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Michael Conklin Jr.

Title

SNR. VP, Cfo

Phone

(401) 456-2525

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TRANSITIONAL CARE UNIT Other name

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1487784997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "address_2": "N. CAMPUS BUSINESS OFFICE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-456-2525",
            "fax_number": "401-456-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PEACE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071510",
            "telephone_number": "401-456-3309",
            "fax_number": "401-456-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SNR. VP, CFO",
        "authorized_official_telephone_number": "401-456-2525",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105122",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "LTC00698",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRANSITIONAL CARE UNIT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lillia St. Clair
• Emma Gerling St. Germain, R.N.
• Lisa A St. Germain, LMHC
• Brenda J. St. Hilaire, RN, CDOE
• St. Joseph Health Services of Rhode Island
• St. Joseph Health Services of Ri
• St. Joseph Health Services of Ri,
• St. Joseph Living Center
• Alyssa Emily Capuano St. Louis, PHARMD
• Bryanna St. Onge, LCSW, CADC

• Skilled Nursing Facility in Providence, RI
• Providers in Providence, 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 11, 2014; 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.