East Bay Retirement Living

LBN: Sh Opco East Bay Manor Llc
East Bay Retirement Living is an health care organization with primary practice located at 1440 Wampanoag Trl , Riverside RI 02915-1045. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Sh Opco East Bay Manor Llc can be contacted via phone (401) 433-5000, or through Ohlendorf, Mark W via phone (414) 918-5000.

Contact Information

Primary practice address
1440 Wampanoag Trl Riverside RI 02915-1045
Phone: (401) 433-5000
Fax: (401) 433-4541
Website:
Map and Directions
Authorized official contact:
Name: Ohlendorf, Mark W
Phone: (414) 918-5000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X Rhode Island

Profile Details

NPI number 1659651560
LBN Legal business name Sh Opco East Bay Manor Llc
DBA Doing business as East Bay Retirement Living
Authorized official Ohlendorf, Mark W
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 23rd, 2011
Last updated Aug 23rd, 2011 - about 13 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 1659651560 NPPES
Rhode Island MEDICAID TBD

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