- Enrollment id
- O20250616000258
- Enrollment state
- RI
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1114709581
- Multiple npi flag
- N
- Ccn
- 415078
- Associate id
- 2668983826
- Organization name
- COVENTRY OPERATIONS RI LLC
- Doing business as name
- RESPIRATORY AND REHAB CENTER OF RI
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- COVENTRY OPERATIONS RI LLC DBA RESPIRATORY AND REHABILITATION CENTER OF RI
- Address line 1
- 10 WOODLAND DR
- City
- COVENTRY
- State
- RI
- Zip code
- 028166716