Saint Elizabeth Manor East Bay

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC00667 Issued in RI

Legal business name

SAINT ELIZABETH MANOR EAST BAY

Practice address

1 Dawn Hill Rd
Bristol, RI 02809-3903

Phone

(401) 253-2300

Fax

(401) 254-1919

NPI assigned

Dec 5, 2005

Last updated

Aug 15, 2007By 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

Elizabeth Russell

Title

Administrator

Phone

(401) 253-2300

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1659355519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DAWN HILL RD",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028093903",
            "telephone_number": "401-253-2300",
            "fax_number": "401-254-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DAWN HILL RD",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028093903",
            "telephone_number": "401-253-2300",
            "fax_number": "401-254-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ELIZABETH MANOR EAST BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-253-2300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP PROVIDER NUMBER",
            "identifier": "402364",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SE48598",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "50407",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6996931",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald N. Mancini and Associates
• Elsiris Rosario, PHARMD
• James Albert Ross, MD
• James Rotsart, R.PH.
• Martin L. Roussel, DC
• Andrew Sakovits, OD
• Carl Anthony Sakovits, OD
• Jean Salera-Vieira, DNP, APRN-CNS, RNC
• Carrie Sandman, LMHC
• David Sardinha, RO

• Skilled Nursing Facility in Bristol, RI
• Providers in Bristol, 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 15, 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.