Healthcare Provider Details

I. General information

NPI: 1881500619
Provider Name (Legal Business Name): WESTERLY NURSING AND REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 BEACH ST
WESTERLY RI
02891-2717
US

IV. Provider business mailing address

79 BEACH ST
WESTERLY RI
02891-2717
US

V. Phone/Fax

Practice location:
  • Phone: 401-596-4925
  • Fax:
Mailing address:
  • Phone: 401-596-4925
  • 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: AVROHOM ROTBERG
Title or Position: PRESIDENT
Credential:
Phone: 730-600-3946