80 Douglas Pike LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

80 DOUGLAS PIKE LLC

Doing business as

Heritage Hills Nursing & Rehabilitation Center

Practice address

80 Douglas Pike
Smithfield, RI 02917-2339

Phone

(401) 231-2700

Fax

(401) 231-2703

NPI assigned

May 9, 2012

Last updated

Nov 8, 2024By 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

Kelly Arnold

Title

Coo

Phone

(401) 751-3800

Specialties & licenses 1

Addresses

Other names 1

• Heritage Hills Nursing & Rehabilitation Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1750640850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 PAWTUCKET AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606057",
            "telephone_number": "401-751-3800",
            "fax_number": "401-751-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 DOUGLAS PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172339",
            "telephone_number": "401-231-2700",
            "fax_number": "401-231-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "80 DOUGLAS PIKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "401-751-3800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heritage Hills Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 171 Pleasant View Operations, LLC (North Bay Retirement Living)
• 401 Dental, LLC
• Yvan Abis
• Olukemi Akanji, NP
• Abdul Rahman Al Hout, MD
• Sandra Alfred, NP
• Sydney A Amado-Tuthill, NP

• 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 Nov 8, 2024; 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.