Provider Demographics
NPI:1356306757
Name:OAKLAND GROVE ASSOCIATES LP
Entity Type:Organization
Organization Name:OAKLAND GROVE ASSOCIATES LP
Other - Org Name:OAKLAND GROVE HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:G
Authorized Official - Last Name:SANTILLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-751-3900
Mailing Address - Street 1:560 CUMBERLAND HILL RD
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-5635
Mailing Address - Country:US
Mailing Address - Phone:401-769-0800
Mailing Address - Fax:401-766-3661
Practice Address - Street 1:560 CUMBERLAND HILL RD
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-5635
Practice Address - Country:US
Practice Address - Phone:401-769-0800
Practice Address - Fax:401-766-3661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILTC00718314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI4105110Medicaid
RI7101330OtherEVERCARE
RI204077OtherBLUE CHIP
RI7109059OtherUNITED HEALTH CARE
RI50809OtherBLUE CROSS
RI50809OtherBLUE CROSS