Active NPI
Senior Lifestyle Sakonnet Bay Limited Partnership
Doing business as Sakonnet Bay
- Skilled Nursing Facility
- Tiverton, RI
National Provider Identifier
1891109336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SENIOR LIFESTYLE SAKONNET BAY LIMITED PARTNERSHIP
- Doing business as
- Sakonnet Bay
- Practice address
- 1215 Main Rd
Tiverton, RI 02878-4246 - Phone
- (401) 624-1880
- NPI assigned
- Jun 12, 2014
- Last updated
- Jun 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Ohlendorf
- Title
- Cfo
- Phone
- (414) 918-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1215 Main Rd
Tiverton, RI 02878-4246
Mailing address
6737 W Washington St
Suite 2300
Milwaukee, WI 53214-5647
Other names 1
- Sakonnet Bay
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D0961589 | Senior Lifestyle Sakonnet Bay | Certificate of waiver | Jun 9, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402531200000",
"number": "1891109336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6737 W WASHINGTON ST",
"address_2": "SUITE 2300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532145647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 MAIN RD",
"city": "TIVERTON",
"state": "RI",
"postal_code": "028784246",
"telephone_number": "401-624-1880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR LIFESTYLE SAKONNET BAY LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-12",
"last_updated": "2014-06-12",
"status": "A",
"authorized_official_last_name": "OHLENDORF",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "414-918-5000"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sakonnet Bay",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tiverton, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.