Organization Active NPI

Violet SNF Holdco LLC

  • Skilled Nursing Facility
  • Pawtucket, RI
National Provider Identifier
1548038151
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Feb 12, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 415064 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
154112.5 residents per day on average
Chain
The Mayer Family11 facilities in the chain
Penalties (3 years)
2Fines totaling $241,130

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D0723993Pawtucket Falls70 Gill Avenue, Pawtucket, RI 02861Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Ali a Akhtar Individual Contracted Managing EmployeeMedical Director Jan 1, 2024
Steven M Elkins Individual W-2 Managing EmployeeAdministrator Jan 8, 2024
Leah Berkowitz Individual 5% Or Greater Indirect Ownership Interest Aug 15, 2023 50%
Giorgio Mayer Individual 5% Or Greater Indirect Ownership Interest Aug 15, 2023 50%
Corporate OfficerCeo Aug 15, 2023 100%
Stephen Crespo Individual Contracted Managing Employee Aug 15, 2023 100%
Corporate OfficerCfo 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.

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

Verify at the official NPI Registry.