Organization Active NPI

Westerly Nursing Home, Inc.

  • Skilled Nursing Facility
  • Westerly, RI
National Provider Identifier
1669464699
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
492 Issued in RI
Legal business name
WESTERLY NURSING HOME, INC.
Practice address
79 Beach St
Westerly, RI 02891-2717
Phone
(401) 596-4925
Fax
(401) 596-2967
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Mr. Paul V. Martin
Title
Administrator
Phone
(401) 596-4925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 492 RI Primary

Addresses

Primary practice location

79 Beach St
Westerly, RI 02891-2717

Mailing address

79 Beach St
Westerly, RI 02891-2717
Phone (401) 596-4925

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1669464699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912717",
            "telephone_number": "401-596-4925",
            "fax_number": "401-596-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912717",
            "telephone_number": "401-596-4925",
            "fax_number": "401-596-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERLY NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-596-4925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.