Hebert Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

RI264 Issued in RI

Legal business name

HEBERT NURSING HOME INC

Practice address

180 Log Rd
Smithfield, RI 02917-1518

Phone

(401) 231-7016

Fax

(401) 231-4018

NPI assigned

May 23, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul J Hebert

Title

Administrator

Phone

(401) 231-7016

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649273830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LOG RD",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171518",
            "telephone_number": "401-231-7016",
            "fax_number": "401-231-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LOG RD",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171518",
            "telephone_number": "401-231-7016",
            "fax_number": "401-231-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBERT NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-231-7016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "RI264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF NE",
            "identifier": "7109090",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410549",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "402577",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "5088-1",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Mercer Gupta, PA-C
• Lorri M Haber-Diboni, D.C.
• Kristofer Haggarty, D.M.D.
• Melina Hardy, APRN
• Kolby Lee Hayes, LCSW
• Heritage Hills LLC (Heritage Hills Nursing Centre)
• Heritage Hills Operator LLC (Heritage Hills Rehabilitation and Healthcare Center)
• Mimi Higgins, DDS
• Erin Holloway, LICSW
• Oumou N/a Hooper, FNP

• Skilled Nursing Facility in Smithfield, RI
• Providers in Smithfield, RI by specialty
• Skilled Nursing Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.