Greenwich Bay, L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1424 Issued in RI

Legal business name

GREENWICH BAY, L.L.C.

Practice address

945 Main St
East Greenwich, RI 02818-3150

Phone

(401) 885-3334

Fax

(401) 885-1260

NPI assigned

Mar 12, 2007

Last updated

Aug 22, 2020By 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

Kathleen McGovern

Title

Executive Director

Phone

40188583334

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962534156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 MAIN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183150",
            "telephone_number": "401-885-3334",
            "fax_number": "401-885-1260"
        },
        {
            "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",
            "fax_number": "401-885-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH BAY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "40188583334"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "RI",
            "license": "1424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GB40440",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Grande, CNM
• Thomas Leonard Green, DO
• Melissa Greenlief, MA, LMHC
• Greenwich Bay Al Operator, LLC (Anchor Bay at Greenwich)
• Greenwich Bay Chiropractic LLC
• Greenwich Medical Associates Inc
• Greenwich Podiatry Group LLC (Greenwich Podiatry Group)
• Greenwich Podiatry, Inc
• Alison Guliano, DPT
• Tara Gyra, LICSW

• 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 Aug 22, 2020; 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.