Pacifica Victoria Court LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PACIFICA VICTORIA COURT LP

Practice address

55 Oaklawn Ave
Cranston, RI 02920-9334

Phone

(401) 946-5522

Fax

(401) 942-5582

NPI assigned

Jun 9, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Lillian Jean Delmonico

Title

Business Office Manger

Phone

(401) 946-5522

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1649590977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OAKLAWN AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029209334",
            "telephone_number": "401-946-5522",
            "fax_number": "401-942-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OAKLAWN AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029209334",
            "telephone_number": "401-946-5522",
            "fax_number": "401-942-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA VICTORIA COURT LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "DELMONICO",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANGER",
        "authorized_official_telephone_number": "401-946-5522",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.