Src Providence, Llc

LBN: Src Providence, Llc
Src Providence, 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 Providence, Llc can be contacted via phone (401) 273-6565, or through Levin, Tamilyn via phone (781) 707-9510.

Contact Information

Primary practice address
353 Blackstone Blvd Providence RI 02906-4936
Phone: (401) 273-6565
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Levin, Tamilyn
Phone: (781) 707-9510

Health care specialties

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

Profile Details

NPI number 1447615034
LBN Legal business name Src Providence, Llc
DBA Doing business as
Authorized official Levin, Tamilyn
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2015
Last updated Dec 28th, 2015 - about 9 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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