Active NPI
Violet SNF Holdco LLC
- Skilled Nursing Facility
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- VIOLET SNF HOLDCO LLC
- Practice address
- 70 Gill Ave
Pawtucket, RI 02861-4315 - Phone
- (718) 486-2444
- NPI assigned
- Dec 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Giorgio Mayer
- Title
- Owner
- Phone
- (718) 486-2444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
70 Gill Ave
Pawtucket, RI 02861-4315
Mailing address
70 Gill Ave
Pawtucket, RI 02861-4315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240208002019 | RI | Part A Provider - Skilled Nursing Facility | 7416390281 | Practice locations: Pawtucket, RI |
Skilled nursing facility certification: CCN 415064
- Legal name
- VIOLET SNF HOLDCO LLC
- Doing business as
- PAWTUCKET FALLS HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1979
- Last certification
- Dec 12, 2024
- Beds
- 154
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Jan 1, 2024
- Organization structure
- LLC
- Enrollment address
- 70 Gill Ave
Pawtucket, RI 02861-4315 - Nursing home name
- PAWTUCKET FALLS HEALTHCARE CENTER
- Affiliated entity
- THE MAYER FAMILY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pawtucket Falls Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 1, 1979
- Medicare certification status
- Active
- Certified beds
- 154
- Chain
- The Mayer Family
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D0723993 | Pawtucket Falls | Certificate of waiver | Nov 7, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ali a Akhtar | Contracted Managing Employee | Jan 1, 2024 | |
| Steven M Elkins | W-2 Managing Employee | Jan 8, 2024 | |
| Leah Berkowitz | 5% Or Greater Indirect Ownership Interest | Aug 15, 2023 | 50% |
| Giorgio Mayer | 5% Or Greater Indirect Ownership Interest | Aug 15, 2023 | 50% |
| Corporate Officer | Aug 15, 2023 | 100% | |
| Stephen Crespo | Contracted Managing Employee | Aug 15, 2023 | 100% |
| Corporate Officer | Aug 15, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Providence, RI
- NPI 1457333619
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707696000000",
"number": "1548038151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 GILL AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028614315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 GILL AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028614315",
"telephone_number": "718-486-2444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIOLET SNF HOLDCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-13",
"last_updated": "2024-02-12",
"certification_date": "2024-02-05",
"status": "A",
"authorized_official_last_name": "MAYER",
"authorized_official_first_name": "GIORGIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-486-2444"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.