Charlesgate Senior Living Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALR01499 Issued in RI

Legal business name

CHARLESGATE SENIOR LIVING CENTER

Practice address

670 N Main St
Providence, RI 02904

Phone

(401) 453-9317

Fax

(401) 453-9323

NPI assigned

Nov 8, 2017

Organization subpart

Yes

Parent organization

CHARLESGATE NORTH APARTMENTS LPAs reported in NPPES

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

Authorized official

Name

Ms. Karen L Lally

Title

President and Cfo

Phone

(401) 453-9331

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Charlesgate Senior Living Center

Locations

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1952814311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RANDALL STREET",
            "address_2": "BUSINESS OFFICE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-861-5858",
            "fax_number": "401-490-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-453-9317",
            "fax_number": "401-453-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESGATE SENIOR LIVING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLESGATE NORTH APARTMENTS LP",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "LALLY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT AND CFO",
        "authorized_official_telephone_number": "401-453-9331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "ALR01499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ISSUED OPERATING LICENSE",
            "identifier": "ALR01499",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amos Charles
• Cathy Maria Charles, MD, MPH
• Machel Charles, PA
• Nerssie Charles
• Charlesgate Nursing Center
• Patrice Lena Charnley, RN, C, CARN
• Margaret M Charpentier, PHARM.D.
• Louis Charron, LICSW
• Chartercare Associates in Primary Care Medicine, LLC
• Chartercare Health Partners

• Assisted Living Facility in Providence, RI
• Providers in Providence, 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 Jul 24, 2018; 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.