Shady Acres Operations Assoc LLC
NPI 1366997082ActiveOrganization· Skilled Nursing Facility· West Kingston, RI
Skilled Nursing Facility in West Kingston, Rhode Island, registered in NPPES in August 2016. The authorized official on file is Kenneth Rozenberg, Member. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1366997082 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2016 |
| Last updated in NPPES | Oct 5, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | LTC00804 | RI |
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) | Enrolled Part A Provider - Skilled Nursing Facility (RI) |
|---|
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