WARREN SKILLED NURSING AND REHABILITATION
NPI 1265683874
Skilled Nursing Facility in Warren, RI

Q: What is 642 Metacom Avenue Operations LLC's NPI number?

The NPI number for 642 Metacom Avenue Operations LLC is 1265683874. It was assigned to this organization in the NPPES registry on October 2, 2008. The provider is doing business as Warren Skilled Nursing And Rehabilitation.

Q: What is 642 Metacom Avenue Operations LLC's specialty?

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

Q: What quality rating does 642 Metacom Avenue Operations LLC have?

CMS rates Warren Skilled Nursing And Rehabilitation 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since October 02, 2008

5/5

Overall Rating

642 METACOM AVE, WARREN, RI 02885(401) 245-2860(401) 245-0959 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Warren Skilled Nursing And Rehabilitation NPPES

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

WARREN SKILLED NURSING AND REHABILITATION (NPI 1265683874) is a healthcare organization registered as a skilled nursing facility in Warren, Rhode Island and active in the NPI registry since October 2008. The organization lists Michael T Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1265683874

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business Name642 METACOM AVENUE OPERATIONS LLC

Location Address642 METACOM AVEWarren, RI 02885-2350

Mailing Address642 Metacom AveWarren, RI 02885-2350 · (401) 245-2860 · Fax (401) 245-0959

Phone(401) 245-2860

Fax(401) 245-0959

Organization SubpartNo

Authorized OfficialMichael T BergAssistant Secretary · (505) 468-4742

Enumeration DateOctober 2, 2008

Last NPPES UpdateJanuary 22, 2024

NPPES CertifiedJanuary 22, 2024

✔ NPI 1265683874 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 · LTC00733

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.

642 METACOM AVE, Warren, RI 02885

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Other Names 1

Doing Business AsWarren Skilled Nursing And Rehabilitation

Other Identifiers 1

MedicaidMA75166RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Warren Skilled Nursing And Rehabilitation (CMS certification number 415068), from CMS Care Compare.

Warren Skilled Nursing And Rehabilitation

Nursing home · Warren, RI

5/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number415068

Certified Beds63 beds53 residents per day on average

Medicare & Medicaid Participant SinceOctober 16, 1978

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

5/5

Long-Stay Quality

Quality of care delivered to long-term residents.

4/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

5/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

49.33

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.09 · LPN 0.4 · RN 1.12

3.61 hrs per resident per day

Weekend Nurse Staffing

3.19 hrs per resident per day

Physical Therapist Staffing

0.1 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

40.4%

Registered Nurse Turnover

36.8%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 13

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

SOFIA CADDEN M.S. CF- SLP

Student in an Organized Health Care Education/Training Program