SRC EAST SIDE, LLC
NPI 1427422906
Assisted Living Facility in Providence, RI

Q: What is Src East Side, LLC's NPI number?

The NPI number for Src East Side, LLC is 1427422906. It was assigned to this organization in the NPPES registry on November 20, 2015.

Q: What is Src East Side, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since November 20, 2015

1 BUTLER AVE, PROVIDENCE, RI 02906(401) 275-0682 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Src East Side, Llc NPPES

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

SRC EAST SIDE, LLC (NPI 1427422906) is a healthcare organization registered as an assisted living facility in Providence, Rhode Island and active in the NPI registry since November 2015. The organization lists Tamilyn Levin, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1427422906

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSRC EAST SIDE, LLC

Location Address1 BUTLER AVEProvidence, RI 02906-5119

Mailing Address63 Kendrick StNeedham, MA 02494-2708

Phone(401) 275-0682

Organization SubpartNo

Authorized OfficialTamilyn LevinChief Financial Officer · (781) 707-9510

Enumeration DateNovember 20, 2015

✔ NPI 1427422906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

1 BUTLER AVE, Providence, RI 02906

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Other Providers at the Same Location NPPES 3

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

D & H THERAPY ASSOCIATES

Clinic/Center (Occupational Medicine)

1 BUTLER AVE
PROVIDENCE, RI 02906

Providence County (401) 273-5031

GINGER CARE, INC.

Assisted Living Facility

1 BUTLER AVE
PROVIDENCE, RI 02906

Providence County (401) 275-0682

WSL EAST SIDE OP, LLC

Assisted Living Facility

1 BUTLER AVE
PROVIDENCE, RI 02906

Providence County (401) 275-0682

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 Src East Side, LLC's NPI number?

The NPI number for Src East Side, LLC is 1427422906. It was assigned to this organization in the NPPES registry on November 20, 2015.

Where is Src East Side, LLC located?

Src East Side, LLC is located at 1 Butler Ave, Providence, RI 02906. The listed phone number is (401) 275-0682.

What is Src East Side, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Src East Side, LLC was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.