Theodore J Hardgrove
NPI 1174986608ActiveOrganization· Skilled Nursing Facility· Providence, RI
Skilled Nursing Facility in Providence, Rhode Island, registered in NPPES in April 2016. The authorized official on file is Theodore James Hardgrove, LICSW, Principal.
Overview
| NPI | 1174986608 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2016 |
| Last updated in NPPES | Apr 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 1024143 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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