100 Wampanoag Trail Operating Company, LLC
NPI 1093057143ActiveOrganization· Skilled Nursing Facility· Riverside, RI
Skilled Nursing Facility in Riverside, Rhode Island, registered in NPPES in March 2013. The authorized official on file is Jeffrey Rubin, Co-Chief Executive Officer.
Overview
| NPI | 1093057143 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 26, 2013 |
| Last updated in NPPES | Jan 19, 2023 |
| Certified by provider | Jan 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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