Orchard View Manor , Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC00675 Issued in RI

Legal business name

ORCHARD VIEW MANOR , INC

Practice address

135 Tripps LN
East Providence, RI 02915-3017

Phone

(401) 438-2250

Fax

(401) 438-0635

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Orlando J. Bisbano Jr.

Title

Administrator

Phone

(401) 438-2250

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1508864646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 TRIPPS LN",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029153017",
            "telephone_number": "401-438-2250",
            "fax_number": "401-438-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 TRIPPS LN",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029153017",
            "telephone_number": "401-438-2250",
            "fax_number": "401-438-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD VIEW MANOR , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "BISBANO",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-438-2250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "401096",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41-05059",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5064",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "71-00111",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "71-01086",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in East Providence, RI
• Providers in East 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 Jul 19, 2010; 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.