Active NPI
Saint Elizabeth Assisted Living, L.P.
- Assisted Living Facility
- Providence, RI
National Provider Identifier
1629123021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ALR01425
- 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, 2013
- 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
- Margaret Connelley
- Title
- Administrator
- Phone
- (401) 490-4646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 41D2018578 | Saint Elizabeth Court Assisted Living | Certificate of waiver | Jan 9, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.