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NPI Code Detail

MEDICARE: MOUNT ST. RITA HEALTH CENTRE

MEDICARE: MOUNT ST. RITA HEALTH CENTRE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility555RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649276726
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNT ST. RITA HEALTH CENTRE
Provider Business Mailing Address
First Line : 15 SUMNER BROWN RD
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-1214
Country : US
Telephone Number : 401-333-6352
Fax Number :
Provider Business Practice Location Address
First Line : 15 SUMNER BROWN RD
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-1214
Country : US
Telephone Number : 401-333-6352
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. JULIE RICHARD
Credential :
Telephone Number : 401-333-6362
Provider Enumeration Date : 06/23/2005
Last Update Date : 08/22/2020

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