Src Blackstone Op, Llc
LBN: Src Blackstone Op, Llc
Src Blackstone Op, Llc is an health care organization with primary practice located at 353 Blackstone Blvd , Providence RI 02906-4936. 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.
Src Blackstone Op, Llc can be contacted via phone (401) 273-6565, or through Scharf, Jonathan via phone (781) 707-9030.
Contact Information
Primary practice address
353 Blackstone Blvd
Providence RI 02906-4936
Phone: (401) 273-6565
Fax: (401) 273-6568
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X |
Profile Details
NPI number | 1588200166 |
---|---|
LBN Legal business name | Src Blackstone Op, Llc |
DBA Doing business as | |
Authorized official | Scharf, Jonathan |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 19th, 2019 |
Last updated | Nov 19th, 2019 - about 5 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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Src Providence, Llc
353 Blackstone Blvd , Providence RI 02906-4936