ELDERWOOD OF SCALLOP SHELL AT WAKEFIELD
NPI 1679874135
Skilled Nursing Facility in Peace Dale, RI

Active since November 15, 2010CLIA 41D0658423 · Waiver
2/5
Overall Rating
55 SCALLOP SHELL WAY, PEACE DALE, RI 02879(401) 789-3006 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2023, Jun 14, 2021, Mar 2, 2016 (3 updates tracked since 2016).

About Elderwood Of Scallop Shell At Wakefield NPPES

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

ELDERWOOD OF SCALLOP SHELL AT WAKEFIELD (NPI 1679874135) is a healthcare organization registered as a skilled nursing facility in Peace Dale, Rhode Island and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jeffrey Rubin, Co-chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1679874135
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name981 KINGS TOWN ROAD OPERATING COMPANY, LLC
Location Address55 SCALLOP SHELL WAYPeace Dale, RI 02879-3045
Mailing Address500 Seneca St Ste 100Buffalo, NY 14204-1963 · (716) 633-3900
Organization SubpartNo
Authorized OfficialJeffrey RubinCo-chief Executive Officer · (716) 817-5075
Enumeration DateNovember 15, 2010
Last NPPES UpdateJanuary 19, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
NPI 1679874135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
55 SCALLOP SHELL WAY, Peace Dale, RI 02879

Other Names 1

Doing Business AsElderwood Of Scallop Shell At Wakefield

Other Identifiers 1

OtherLTC00352RI · Rhode Island Department Of Health

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 41D0658423

Elderwood Of Scallop Shell At Wakefield · Wakefield, RI
Active · expires Aug 31, 2026
CLIA Number41D0658423
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAmber L. Grivers
Laboratory Phone(401) 789-3006
Laboratory LocationElderwood Of Scallop Shell At Wakefield55 Scallop Shell Way, Wakefield, RI 02879
CLIA data matches this NPI record on: 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 Elderwood Of Scallop Shell At Wakefield (CMS certification number 415057), from CMS Care Compare.

Elderwood Of Scallop Shell At Wakefield

Nursing home · South Kingstown, RI
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number415057
Certified Beds80 beds60 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 1978
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
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.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
93.33
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 2.19 · LPN 0.6 · RN 1.13
3.93 hrs per resident per day
Weekend Nurse Staffing
3.35 hrs per resident per day
Physical Therapist Staffing
0.09 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
60.8%
Registered Nurse Turnover
36.8%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
3
Infection-Control Citations
0
Fines
1 totaling $70,499.00
Medicare Payment Denials
0
Total Penalties
1
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 3

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

Skilled Nursing Facility
55 SCALLOP SHELL WAY
WAKEFIELD, RI 02879
Occupational Therapist
55 SCALLOP SHELL WAY
WAKEFIELD, RI 02879
Speech-Language Pathologist
55 SCALLOP SHELL WAY
WAKEFIELD, RI 02879

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 981 Kings Town Road Operating Company, LLC's NPI number?

The NPI number for 981 Kings Town Road Operating Company, LLC is 1679874135. It was assigned to this organization in the NPPES registry on November 15, 2010. The provider is doing business as Elderwood Of Scallop Shell At Wakefield.

Where is 981 Kings Town Road Operating Company, LLC located?

981 Kings Town Road Operating Company, LLC is located at 55 Scallop Shell Way, Peace Dale, RI 02879. The listed phone number is (401) 789-3006.

What is 981 Kings Town Road Operating Company, LLC's specialty?

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

Does 981 Kings Town Road Operating Company, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0658423) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is 981 Kings Town Road Operating Company, LLC a Medicare-certified nursing home?

Yes. Elderwood Of Scallop Shell At Wakefield is a Medicare-certified nursing home with 80 certified beds.

What quality rating does 981 Kings Town Road Operating Company, LLC have?

CMS rates Elderwood Of Scallop Shell At Wakefield 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for 981 Kings Town Road Operating Company, LLC was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.