POCASSET BAY AL OPERATOR LLC NPI 1811460835

NPI Information

  • NPI: 1811460835
  • Provider Name: POCASSET BAY AL OPERATOR, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 41D2025154
  • Address: 12 OLD POCASSET LN
    JOHNSTON, RI
    ZIP 02919
  • Phone: (401) 421-6610

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NPI Details

POCASSET BAY AL OPERATOR, LLC is an assisted living facility in Johnston, RI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. POCASSET BAY AL OPERATOR, LLC NPI is 1811460835. The provider is registered as an organization entity type.

The provider's business location address is:

12 OLD POCASSET LN
JOHNSTON, RI
ZIP 02919-138
Phone: (401) 421-6610

The provider's authorized official is Kisha-gay Johnson .
The authorized official title is Revenue Accounting Manager and has the following contact phone number (410) 427-2669.

The CLIA number assigned to this NPI record is 41D2025154 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2019 and was last updated on 1/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NAOTHERNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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