333 GREEN END AVENUE OPERATIONS LLC
NPI 1083896815
Skilled Nursing Facility in Middletown, RI

Active since December 04, 2007CLIA 41D0082502 · Waiver
333 GREEN END AVE, MIDDLETOWN, RI 02842(401) 849-7100(401) 849-6076 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 333 Green End Avenue Operations Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

333 GREEN END AVENUE OPERATIONS LLC (NPI 1083896815), doing business as Grand Islander Center, is a healthcare organization registered as a skilled nursing facility in Middletown, Rhode Island and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael T Berg, Secretary, as its authorized official.

NPPES Registry Identity

NPI1083896815
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name333 GREEN END AVENUE OPERATIONS LLC
Location Address333 GREEN END AVEMiddletown, RI 02842-5620
Mailing Address101 E State StKennett Square, PA 19348-3109 · (610) 925-4436 · Fax (610) 925-4351
Fax(401) 849-6076
Organization SubpartNo
Authorized OfficialMichael T BergSecretary · (610) 444-6350
Enumeration DateDecember 4, 2007
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
NPI 1083896815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in RI · LTC00753
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
333 GREEN END AVE, Middletown, RI 02842

Other Names 1

Doing Business AsGrand Islander Center

Other Identifiers 1

Medicaid1083896RI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D0082502

333 Green End Avenue Operations LLC (grand Islander Center) · Middletown, RI
Active · expires Aug 31, 2026
CLIA Number41D0082502
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSunil P. Verma
Laboratory Phone(401) 849-7100
Laboratory Location333 Green End Avenue Operations LLC (grand Islander Center)333 Green End Avenue, Middletown, RI 02842
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
333 GREEN END AVE
MIDDLETOWN, RI 02842
Skilled Nursing Facility
333 GREEN END AVE
MIDDLETOWN, RI 02842
Occupational Therapy Assistant
333 GREEN END AVE
MIDDLETOWN, RI 02842
Physical Therapist
333 GREEN END AVE
MIDDLETOWN, RI 02842
Physician Assistant
333 GREEN END AVE
MIDDLETOWN, RI 02842
Physical Therapist
333 GREEN END AVE
MIDDLETOWN, RI 02842
Speech-Language Pathologist
333 GREEN END AVE
MIDDLETOWN, RI 02842
Occupational Therapy Assistant
333 GREEN END AVE
MIDDLETOWN, RI 02842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 333 Green End Avenue Operations LLC's NPI number?

The NPI number for 333 Green End Avenue Operations LLC is 1083896815. It was assigned to this organization in the NPPES registry on December 4, 2007. The provider is doing business as Grand Islander Center.

Where is 333 Green End Avenue Operations LLC located?

333 Green End Avenue Operations LLC is located at 333 Green End Ave, Middletown, RI 02842. The listed phone number is (401) 849-7100.

What is 333 Green End Avenue Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does 333 Green End Avenue Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0082502) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does 333 Green End Avenue Operations LLC accept?

Health plans from Harvard Pilgrim Health Care list 333 Green End Avenue Operations LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 333 Green End Avenue Operations LLC was last updated on October 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.