Greenwich Bay Al Operator, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREENWICH BAY AL OPERATOR, LLC

Doing business as

Anchor Bay at Greenwich

Practice address

945 Main St
East Greenwich, RI 02818-3150

Phone

(401) 885-3334

NPI assigned

Jan 3, 2019

Last updated

Jan 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kisha-Gay Johnson

Title

Revenue Accounting Manager

Phone

(410) 427-2669

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Anchor Bay at Greenwich Doing business as

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1891268819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 CLARKVIEW RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 MAIN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183150",
            "telephone_number": "401-885-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH BAY AL OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KISHA-GAY",
        "authorized_official_title_or_position": "REVENUE ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "410-427-2669"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchor Bay at Greenwich",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Assisted Living Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.