MEDICARE: OC FALL RIVER LLC

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
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1902405756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OC FALL RIVER LLC

Provider Business Mailing Address
First Line	:	400 COLUMBIA ST
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02721-1500
Country	:	US
Telephone Number	:	508-324-7960
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 COLUMBIA ST
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02721-1500
Country	:	US
Telephone Number	:	508-324-7960
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RUSSELL GERALD PAPIA
Credential	:
Telephone Number	:	716-725-4677

Provider Enumeration Date	:	10/22/2020
Last Update Date	:	08/12/2025

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Directions to “OC FALL RIVER LLC ” Practice Location

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