Organization Active NPI

Saint Elizabeth Assisted Living, L.P.

  • Assisted Living Facility
  • Providence, RI
National Provider Identifier
1629123021
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALR01425 Issued in RI
Legal business name
SAINT ELIZABETH ASSISTED LIVING, L.P.
Practice address
109 Melrose St
Providence, RI 02907-1856
Phone
(401) 490-4646
Fax
(401) 490-4537
NPI assigned
Jan 24, 2007
Last updated
Jan 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Margaret Connelley
Title
Administrator
Phone
(401) 490-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALR01425 RI Primary

Addresses

Primary practice location

109 Melrose St
Providence, RI 02907-1856

Mailing address

109 Melrose St
Providence, RI 02907-1856
Phone (401) 490-4646

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
41D2018578Saint Elizabeth Court Assisted Living109 Melrose Street, Providence, RI 02907Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1629123021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MELROSE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071856",
            "telephone_number": "401-490-4646",
            "fax_number": "401-490-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MELROSE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071856",
            "telephone_number": "401-490-4646",
            "fax_number": "401-490-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ELIZABETH ASSISTED LIVING, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "CONNELLEY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-490-4646"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "ALR01425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.