Healthcare Provider Details

I. General information

NPI: 1013827682
Provider Name (Legal Business Name): WSL CRANSTON AL OP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 OAKLAWN AVE
CRANSTON RI
02920-9334
US

IV. Provider business mailing address

57 WELLS AVE STE 20
NEWTON MA
02459-3227
US

V. Phone/Fax

Practice location:
  • Phone: 401-903-3093
  • Fax:
Mailing address:
  • Phone: 781-707-9085
  • Fax: 781-707-9085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN SCHARF
Title or Position: GENERAL COUNSEL
Credential:
Phone: 617-707-9000