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

Active since October 02, 2008CLIA 41D0083074 · Waiver
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: August 02, 2026.

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 holds a CLIA Waiver certificate valid through August 31, 2026 and 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 ›

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 41D0083074

642 Metacom Avenue Operations LLC (warren Skilled Nursing) · Warren, RI
Active · expires Aug 31, 2026
CLIA Number41D0083074
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMarguerite M. Morris
Laboratory Phone(401) 245-2860
Laboratory Location642 Metacom Avenue Operations LLC (warren Skilled Nursing)642 Metacom Avenue, Warren, RI 02885
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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 12

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
642 METACOM AVE
WARREN, RI 02885
Bristol County (401) 245-2860
TC HEALTHCARE I, LLC
Skilled Nursing Facility
642 METACOM AVE
WARREN, RI 02885
Bristol County (401) 245-2860
BARBARA J WOOD COTA
Occupational Therapy Assistant
642 METACOM AVE
WARREN, RI 02885
Bristol County (401) 245-2860
DR. LACEY AILENE YOUNG DPT
Physical Therapist
642 METACOM AVE
WARREN, RI 02885
Bristol County (401) 245-2860
ALYSSA BOARDWAY
Occupational Therapist
642 METACOM AVE
WARREN, RI 02885
Bristol County (401) 245-2860
WARREN OPERATIONS RI LLC
Skilled Nursing Facility
642 METACOM AVE
WARREN, RI 02885
Bristol County (908) 414-8026
MR. STEPHEN MICHAEL MEDEIROS PTA
Physical Therapy Assistant
642 METACOM AVE
WARREN, RI 02885
Bristol County (401) 245-2860
MISS ASHLEY SILVEIRA PTA
Physical Therapy Assistant
642 METACOM AVE
WARREN, RI 02885
Bristol County (401) 245-2860

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 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.

Where is 642 Metacom Avenue Operations LLC located?

642 Metacom Avenue Operations LLC is located at 642 Metacom Ave, Warren, RI 02885. The listed phone number is (401) 245-2860.

What is 642 Metacom Avenue Operations LLC's specialty?

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

Does 642 Metacom Avenue Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0083074) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is 642 Metacom Avenue Operations LLC a Medicare-certified nursing home?

Yes. Warren Skilled Nursing And Rehabilitation is a Medicare-certified nursing home with 63 certified beds.

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.

What insurance does 642 Metacom Avenue Operations LLC accept?

Health plans from Harvard Pilgrim Health Care list 642 Metacom 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 642 Metacom Avenue Operations LLC was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.