Organization Active NPI

Eleanor Slater Hospital

  • Long Term Care Hospital
  • Cranston, RI
National Provider Identifier
1922197789
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
HOS00102 Issued in RI
Legal business name
ELEANOR SLATER HOSPITAL
Practice address
111 Howard Ave
Cranston, RI 02920-3001
Phone
(401) 462-1405
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Mr. Brett Johnson, MBA
Title
Ceo
Phone
(401) 462-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X HOS00102 RI Primary

Addresses

Primary practice location

111 Howard Ave
Cranston, RI 02920-3001

Mailing address

111 Howard Ave
Cranston, RI 02920-3001
Phone (401) 462-1405

Other identifiers 7

IdentifierTypeStateIssuer
00004102001OtherRIHEALTHMATE 2000
000000 2900-001OtherRIBLUE SHIELD & PLAN 65
0000000027OtherRIBLUE CROSS PLAN 65
53-09425OtherRIUNITED HEALTH CARE
0000ZJY915OtherBLUE CROSS BLUE SHIELD MA
RI22693OtherRIRI MEDICAL CENTER GENERAL HOSPITAL PHYSICIAN GROUP
CP00402578 001OtherRIMEDICARE PLUS CHOICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230315002231 RI Part B Supplier - Hospital Department(S) 8123929742 Receives reassigned benefits from 18 practitioners
Practice locations: Cranston, RI; Pascoag, RI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

50 Orms St
Providence, RI 02904
Phone (401) 222-5600

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eleanor Slater HospitalCranston, RI, CCN 412001 Hospital Operational/Managerial Control (100%) Feb 25, 1994

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1922197789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HOWARD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203001",
            "telephone_number": "401-462-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HOWARD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203001",
            "telephone_number": "401-462-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR SLATER HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-462-0660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "RI",
            "license": "HOS00102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHMATE 2000",
            "identifier": "00004102001",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD & PLAN 65",
            "identifier": "000000 2900-001",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PLAN 65",
            "identifier": "0000000027",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "53-09425",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "0000ZJY915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI MEDICAL CENTER GENERAL HOSPITAL PHYSICIAN GROUP",
            "identifier": "RI22693",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS CHOICE",
            "identifier": "CP00402578 001",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.