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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- LTS00746
- 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, 2011
- Organization subpart
- Yes
- Parent organization
- NEW JERSEY CPL HOLDINGS LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401028 | Other | RI | RI BLUE CHIP |
| 4105071 | Medicaid | RI | |
| CP66176 | Medicaid | RI | |
| 7100217 | Other | RI | UNITED HEALTH CARE |
| 5044-3 | Other | RI | BC & BS OF RI |
Other names 1
- South County Rehabilitation and Nursing Center
National Provider Directory
National Provider DirectoryNPI 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.