Organization Active NPI

Athena Orchard View LLC

  • Skilled Nursing Facility
  • East Providence, RI
National Provider Identifier
1831443779
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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 CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AT94610MedicaidRI

Other names 1

  • Orchard View Manor Nursing and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.