SOUTH BAY MANOR NPI 1881840932

NPI Information

  • NPI: 1881840932
  • Provider Name: SOUTH BAY MANOR
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1959 KINGSTOWN ROAD
    SOUTH BAY RETIREMENT LIVING
    SOUTH KINGSTOWN, RI
    ZIP 02879
  • Phone: (401) 789-5880

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NPI Details

SOUTH BAY MANOR is an assisted living facility in South Kingstown, RI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SOUTH BAY MANOR NPI is 1881840932. The provider is registered as an organization entity type.

The provider's business location address is:

1959 KINGSTOWN ROAD
SOUTH BAY RETIREMENT LIVING
SOUTH KINGSTOWN, RI
ZIP 02879-608
Phone: (401) 789-5880
Fax: (401) 783-2880

The provider's authorized official is Mark Ohlendorf .
The authorized official title is Chief Financial Officer (cfo) and has the following contact phone number (414) 918-5403.

The enumeration date for this NPI number is 8/8/2008 and was last updated on 6/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care FacilityLTC00735RHODE ISLANDNo
2310400000XAssisted Living FacilityRHODE ISLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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