PAWTUCKET SNF OPERATOR LLC
NPI 1285242610
Skilled Nursing Facility in Pawtucket, RI

NPI Status: Active since July 22, 2020

Contact Information

70 GILL AVE
PAWTUCKET, RI
ZIP 02861
Phone: (401) 722-7900

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Skilled Nursing Facility
CLIA Number: 41D0723993
CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
CLIA Exp. Date: 11-07-2025

About PAWTUCKET SNF OPERATOR LLC

This page provides the complete NPI Profile along with additional information for Pawtucket Snf Operator Llc, a provider established in Pawtucket, Rhode Island operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1285242610 assigned on July 2020. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jeffrey Kagan (Owner)

NPI: 1285242610
Provider Name: PAWTUCKET SNF OPERATOR LLC
Entity Type: Organization
Location Address: 70 GILL AVE PAWTUCKET, RI 02861
Location Phone: (401) 722-7900
Mailing Address: 70 GILL AVE PAWTUCKET, RI 02861
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-22-2020
Last Update Date: 07-22-2020
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Skilled Nursing Facility
Taxonomy Code: 314000000X
Type: Nursing & Custodial Care Facilities
Taxonomy Description: (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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: JEFFREY KAGAN
Authorized Official Title: OWNER
Authorized Official Phone: (410) 877-6630

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 41D0723993
Facility Type: Skilled Nursing Facility/Nursing Facility
Certificate Effective Date: November 08, 2023
Certificate Expiration Date: November 07, 2025
Laboratory Director: WALTHER PFEIFER
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Pawtucket Snf Operator Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	8	5	2	4	2	6	1	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	16	5	4	4	4	6	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 4 + 4 + 6 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1285242610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 18 providers are registered at the same or nearby location.

HAVEN HEALTH CENTER OF PAWTUCKET, LLC

Skilled Nursing Facility

70 GILL AVE
PAWTUCKET, RI
ZIP 02861

About PAWTUCKET SNF OPERATOR LLC

Location Map

Specialty - Primary Taxonomy

Skilled Nursing Facility

Authorized Official

JEFFREY KAGAN

CLIA Information

Reviews for PAWTUCKET SNF OPERATOR LLC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is PAWTUCKET SNF OPERATOR LLC's NPI number?

Where is the provider located?

What is the provider's specialty?