Organization Active NPI

Oes Home of Ri,Inc/Ethan Place

  • Assisted Living Facility
  • Warwick, RI
National Provider Identifier
1558557629
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OES HOME OF RI,INC/ETHAN PLACE
Practice address
85 Ethan St
Warwick, RI 02888-3905
Phone
(401) 781-5460
Fax
(401) 781-0479
NPI assigned
Sep 21, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Mrs. Sandra L. Lacross, RN
Title
Administrator
Phone
(401) 781-5460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X RI Primary

Addresses

Primary practice location

85 Ethan St
Warwick, RI 02888-3905

Mailing address

85 Ethan St
Warwick, RI 02888-3905
Phone (401) 781-5460

National Provider Directory

National Provider Directory
Tax ID family
Ethan Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

85 Ethan St
Warwick, RI 02888
Phone (401) 781-5460

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1558557629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ETHAN ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883905",
            "telephone_number": "401-781-5460",
            "fax_number": "401-781-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 ETHAN ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883905",
            "telephone_number": "401-781-5460",
            "fax_number": "401-781-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OES HOME OF RI,INC/ETHAN PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "LACROSS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-781-5460",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.