Organization · Type 2 NPI

70 Gill Avenue Operations LLC

Skilled Nursing Facility · Pawtucket, RI

NPI number 1184875791 Active

Practice location

70 Gill Ave
Pawtucket, RI 02861-4315

Fax (401) 723-9670

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	LTC00736 (RI)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

18 other providers at this address

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NPI record

NPI: 1184875791
Entity type: Organization (Type 2)
Issued: Oct 2, 2008
Last updated: Jul 23, 2020
Status: Active

Other names

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Pawtucket Skilled Nursing and Rehabilitation · doing business as
Pawtucket Skilled Nursing and Rehabilitation · doing business as

Authorized official

Michael T Berg
Corporate Officer
(505) 468-4742

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184875791

70 Gill Avenue Operations LLC's National Provider Identifier is 1184875791, issued on Oct 2, 2008. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Pawtucket, RI. The record was last updated on Jul 23, 2020.