CHARLESGATE NURSING CENTER
NPI 1881684736
Skilled Nursing Facility in Providence, RI

Active since October 24, 2005
100 RANDALL ST, PROVIDENCE, RI 02904(401) 861-5858(401) 861-2540 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charlesgate Nursing Center NPPES

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

CHARLESGATE NURSING CENTER (NPI 1881684736) is a healthcare organization registered as a skilled nursing facility in Providence, Rhode Island and active in the NPI registry since October 2005. The organization lists Lucille Massemino, Administrator, as its authorized official.

NPPES Registry Identity

NPI1881684736
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCHARLESGATE NURSING CENTER
Location Address100 RANDALL STProvidence, RI 02904-2723
Mailing Address100 Randall StProvidence, RI 02904-2723 · (401) 861-5858 · Fax (401) 861-2540
Fax(401) 861-2540
Organization SubpartNo
Authorized OfficialLucille MasseminoAdministrator · (401) 861-5858
Enumeration DateOctober 24, 2005
Last NPPES UpdateApril 10, 2008
NPI 1881684736 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 · LTC00621
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.

100 RANDALL ST, Providence, RI 02904

Other Identifiers 3

Medicare ID-Type Unspecified41-5052RI · Ri Medicare Provider #
Medicare NSC0924200001RI
Medicaid4105052RI

Other Providers at the Same Location NPPES 10

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

Registered Nurse
100 RANDALL ST
PROVIDENCE, RI 02904
Registered Nurse
100 RANDALL ST
PROVIDENCE, RI 02904
Registered Nurse
100 RANDALL ST
PROVIDENCE, RI 02904
Registered Nurse
100 RANDALL ST
PROVIDENCE, RI 02904
Physical Therapy Assistant
100 RANDALL ST
PROVIDENCE, RI 02904
Counselor (Addiction (Substance Use Disorder))
100 RANDALL ST
PROVIDENCE, RI 02904
Registered Nurse
100 RANDALL ST
PROVIDENCE, RI 02904
Registered Nurse
100 RANDALL ST
PROVIDENCE, RI 02904

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 Charlesgate Nursing Center's NPI number?

The NPI number for Charlesgate Nursing Center is 1881684736. It was assigned to this organization in the NPPES registry on October 24, 2005.

Where is Charlesgate Nursing Center located?

Charlesgate Nursing Center is located at 100 Randall St, Providence, RI 02904. The listed phone number is (401) 861-5858.

What is Charlesgate Nursing Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Charlesgate Nursing Center was last updated on April 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.