Halcyon at West Bay, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HALCYON AT WEST BAY, LLC

Practice address

2783 W Shore Rd
Warwick, RI 02889-8659

Phone

(740) 491-8721

NPI assigned

Apr 21, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Charity Ann Stackhouse, LNHA

Title

Director of Operations

Phone

(740) 491-8721

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1801478748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 W SHORE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898659",
            "telephone_number": "740-491-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 W SHORE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898659",
            "telephone_number": "740-491-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON AT WEST BAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "STACKHOUSE",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "740-491-8721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "charity.stackhouse@metisltcc.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Billing",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Resident room and board",
            "address_1": "2783 W Shore Rd",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028898659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brianna Leigh Hacker, OD
• Scott Robert Hacker, OD
• Edmund T Hackman, Jr., OD
• Antoine F O Hadamard, MD
• Ryan Halabi, MD, MBA
• Dana P. Hall, M.D.
• Whitney Ann Hall, ACDP, LCDP, BSW
• Mark Anthony Hallett, COTA/L
• Stacy Nadine Haltaufderhyde
• Lori Ann Halterman, PMHNP

• Assisted Living Facility in Warwick, RI
• Providers in Warwick, 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 Apr 21, 2021; 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.