Charlesgate Nursing Center

LBN: Charlesgate Nursing Center
Charlesgate Nursing Center is an health care organization with primary practice located at 100 Randall St , Providence RI 02904-2723. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Charlesgate Nursing Center can be contacted via phone (401) 861-5858, or through Massemino, Lucille via phone (401) 861-5858.

Contact Information

Primary practice address
100 Randall St Providence RI 02904-2723
Phone: (401) 861-5858
Fax: (401) 861-2540
Website:
Map and Directions
Authorized official contact:
Name: Massemino, Lucille RN,NHA
Phone: (401) 861-5858

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X LTC00621 Rhode Island

Profile Details

NPI number 1881684736
LBN Legal business name Charlesgate Nursing Center
DBA Doing business as
Authorized official Massemino, Lucille RN,NHA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Apr 10th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881684736 NPPES
Rhode Island MEDICAID 4105052

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