Organization Active NPI

CPL (South County) LLC

Doing business as South County Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • North Kingstown, RI
National Provider Identifier
1881716686
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
LTS00746 Issued in RI
Legal business name
CPL (SOUTH COUNTY) LLC
Doing business as
South County Rehabilitation and Nursing Center
Practice address
740 Oak Hill Road
North Kingstown, RI 02852-7205
Phone
(401) 294-4545
Fax
(401) 295-7650
NPI assigned
Apr 4, 2007
Last updated
Aug 15, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW JERSEY CPL HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Carole M Scillia
Title
LLC Manager
Phone
(203) 608-6100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X LTC00678 RI
Skilled Nursing Facility 314000000X LTC00746 RI
Skilled Nursing Facility 314000000X LTS00746 RI Primary

Addresses

Primary practice location

740 Oak Hill Road
North Kingstown, RI 02852-7205

Mailing address

538 Preston Avenue
Suite 270
Meriden, CT 06450-4851
Phone (203) 608-6100

Other identifiers 5

IdentifierTypeStateIssuer
401028OtherRIRI BLUE CHIP
4105071MedicaidRI
CP66176MedicaidRI
7100217OtherRIUNITED HEALTH CARE
5044-3OtherRIBC & BS OF RI

Other names 1

  • South County Rehabilitation and Nursing Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1881716686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 PRESTON AVENUE",
            "address_2": "SUITE 270",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504851",
            "telephone_number": "203-608-6100",
            "fax_number": "203-639-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 OAK HILL ROAD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028527205",
            "telephone_number": "401-294-4545",
            "fax_number": "401-295-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPL (SOUTH COUNTY) LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW JERSEY CPL HOLDINGS LLC",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "SCILLIA",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "203-608-6100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00678",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00746",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTS00746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CHIP",
            "identifier": "401028",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4105071",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CP66176",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "7100217",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS OF RI",
            "identifier": "5044-3",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.