VILLAGE AT WATERMAN LAKE
NPI 1417164096
Assisted Living Facility in Greenville, RI
About Village At Waterman Lake NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VILLAGE AT WATERMAN LAKE (NPI 1417164096) is a healthcare organization registered as an assisted living facility in Greenville, Rhode Island and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Roberta Burley, Contoller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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 41D2195335
Village At Waterman Lake LP, The · Greenville, RIOther Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENVILLE, RI 02828
GREENVILLE, RI 02828
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 Village At Waterman Lake's NPI number?
The NPI number for Village At Waterman Lake is 1417164096. It was assigned to this organization in the NPPES registry on May 16, 2007.
Where is Village At Waterman Lake located?
Village At Waterman Lake is located at 715 Putnam Pike, Greenville, RI 02828. The listed phone number is (401) 949-4333.
What is Village At Waterman Lake's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Village At Waterman Lake hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 41D2195335) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Village At Waterman Lake was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.