Provider Demographics
NPI:1437157898
Name:SCALABRINI VILLA, INC.
Entity Type:Organization
Organization Name:SCALABRINI VILLA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-884-1802
Mailing Address - Street 1:860 N QUIDNESSETT RD
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-1000
Mailing Address - Country:US
Mailing Address - Phone:401-884-1802
Mailing Address - Fax:401-884-4727
Practice Address - Street 1:860 N QUIDNESSETT RD
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-1000
Practice Address - Country:US
Practice Address - Phone:401-884-1802
Practice Address - Fax:401-884-4727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2007-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILTC00367314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI5003OtherBLUE CROSS & BLUE SHIELD
RI4105063Medicaid
RI71-07104OtherUNITED HEALTHCARE OF NE
RI40-2433OtherBLUE CHIP OF RI
RI71-01149OtherUNITED HEALTH - EVERCARE
RI71-01149OtherUNITED HEALTH - EVERCARE