Healthcare Provider Details

I. General information

NPI: 1114709581
Provider Name (Legal Business Name): COVENTRY OPERATIONS RI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2023
Last Update Date: 10/19/2023
Certification Date: 10/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WOODLAND DR
COVENTRY RI
02816-6716
US

IV. Provider business mailing address

10 WOODLAND DR
COVENTRY RI
02816-6716
US

V. Phone/Fax

Practice location:
  • Phone: 908-414-8026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ZEV SCHWARTZ
Title or Position: OPERATOR
Credential:
Phone: 908-414-8026