Organization Active NPI

Nancy Ann Nursing Home, Inc.

  • Skilled Nursing Facility
  • Foster, RI
National Provider Identifier
1811949068
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
410-5115 Issued in RI
Legal business name
NANCY ANN NURSING HOME, INC.
Practice address
47 E Killingly Rd
Foster, RI 02825-1429
Phone
(401) 647-2170
Fax
(401) 647-9020
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert E. Foss Jr.
Title
Owner/Administrator
Phone
(401) 647-2170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 410-5115 RI Primary

Addresses

Primary practice location

47 E Killingly Rd
Foster, RI 02825-1429

Mailing address

47 E Killingly Rd
Foster, RI 02825-1429
Phone (401) 647-2170

Other identifiers 1

IdentifierTypeStateIssuer
4105115MedicaidRI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811949068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 E KILLINGLY RD",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251429",
            "telephone_number": "401-647-2170",
            "fax_number": "401-647-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 E KILLINGLY RD",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251429",
            "telephone_number": "401-647-2170",
            "fax_number": "401-647-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY ANN NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "401-647-2170",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "410-5115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105115",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foster, RI

Sources for this page

  • 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.