Summer Villa Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALR01439 Issued in RI

Legal business name

SUMMER VILLA INC.

Doing business as

Summer Villa

Practice address

51 Laurel Ave
Coventry, RI 02816-5329

Phone

(401) 828-8280

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Craig Steven Pianka

Title

Administrator

Phone

(401) 828-8280

Specialties & licenses 1

Addresses

Other names 1

• Summer Villa Doing business as

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659591261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 LAUREL AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 LAUREL AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165329",
            "telephone_number": "401-828-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER VILLA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIANKA",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-828-8280"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "ALR01439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Station Street Group Home
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• Kimberly M. Stokinger, PA-C
• Kristin J Strattman, PHARMD
• John Sullivan, MD
• Jenna Leigh Tatari, COTA
• Monica Tawadros
• TC Healthcare I, LLC (Coventry Health Care Facility)
• Melissa Ann Theetge, LCMT
• Scott Thornton

• Assisted Living Facility in Coventry, RI
• Providers in Coventry, RI by specialty
• Assisted Living 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.