Active NPI
Athena Orchard View LLC
- Skilled Nursing Facility
- East Providence, RI
National Provider Identifier
1831443779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ATHENA ORCHARD VIEW LLC
- Practice address
- 135 Tripps Lane
East Providence, RI 02915-3017 - Phone
- (401) 438-2250
- Fax
- (401) 438-0635
- NPI assigned
- Oct 30, 2012
- Organization subpart
- Yes
- Parent organization
- ATHENA HEALTH CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence G. Santilli
- Title
- Manager
- Phone
- (860) 751-3900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
135 Tripps Lane
East Providence, RI 02915-3017
Mailing address
135 Tripps Lane
East Providence, RI 02915-3017
Phone (401) 438-2250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT94610 | Medicaid | RI |
Other names 1
- Orchard View Manor Nursing and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121231000028 | RI | Part A Provider - Skilled Nursing Facility | 4981857802 | Practice locations: Riverside, RI |
National Provider Directory
National Provider Directory- Part of
- Athena Health Care Associates Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676505600000",
"number": "1831443779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 TRIPPS LANE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029153017",
"telephone_number": "401-438-2250",
"fax_number": "401-438-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 TRIPPS LANE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029153017",
"telephone_number": "401-438-2250",
"fax_number": "401-438-0635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHENA ORCHARD VIEW LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ATHENA HEALTH CARE",
"enumeration_date": "2012-10-30",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A",
"authorized_official_last_name": "SANTILLI",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "860-751-3900"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AT94610",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Orchard View Manor Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Orchard View Manor Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.