BANNISTER NURSING CARE CENTER
NPI 1427177005
Skilled Nursing Facility - Nursing Care, Pediatric in Providence, RI

NPI Status: Active since March 28, 2007

Contact Information

135 DODGE ST
PROVIDENCE, RI
ZIP 02907
Phone: (401) 521-9600
Fax: (401) 274-3233

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  • Organization
  • Skilled Nursing Facility
  • Nursing Care, Pediatric
  • CLIA Number: 41D0084194
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About BANNISTER NURSING CARE CENTER

This page provides the complete NPI Profile along with additional information for Bannister Nursing Care Center, a provider established in Providence, Rhode Island operating as a Skilled Nursing Facility, focusing in nursing care, pediatric . The healthcare provider is registered in the NPI registry with number 1427177005 assigned on March 2007. The practitioner's primary taxonomy code is 3140N1450X with license number LTC00600 (RI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Carol A. Mancini (Administrator)

NPI
1427177005
Provider Name
BANNISTER NURSING CARE CENTER
Entity Type
Organization
Location Address
135 DODGE ST PROVIDENCE, RI 02907
Location Phone
(401) 521-9600
Location Fax
(401) 274-3233
Mailing Address
135 DODGE ST PROVIDENCE, RI 02907
Mailing Phone
(401) 521-9600
Mailing Fax
(401) 274-3233
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-28-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility Nursing Care, Pediatric

Taxonomy Code
3140N1450X
Type
Nursing & Custodial Care Facilities
License No.
LTC00600
License State
RI
Taxonomy Description
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CAROL A. MANCINI

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(401) 521-9600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5005-0OTHER (01)RIBLUE CROSS
4105038MEDICAID (05)RI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
41D0084194
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
BELINDA MONTESI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bannister Nursing Care Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427177005
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447271400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 2 + 7 + 1 + 4 + 0 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1427177005 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518273168 KIMBERLY RIX RN
Individual
Registered Nurse135 DODGE ST
PROVIDENCE, RI 02907
(401) 528-0123
1275833527 ROBERTA PAONE-HART RN
Individual
Registered Nurse135 DODGE ST
PROVIDENCE, RI 02907
(401) 383-5150
1144564998MISS JACQUELINE LEONA PLANTE OTR/L
Individual
Occupational Therapist135 DODGE ST
PROVIDENCE, RI 02907
(401) 521-9600
1174868996MS. CHERYL WHEELER COTA/L
Individual
Occupational Therapy Assistant135 DODGE ST
PROVIDENCE, RI 02907
(401) 521-9600
1639414469MRS. CHRISTINE M KELLOGG PTA
Individual
Physical Therapy Assistant135 DODGE ST
PROVIDENCE, RI 02907
(401) 521-9600
1528496205MR. BRIAN C GREENE RN
Individual
Registered Nurse135 DODGE ST
PROVIDENCE, RI 02907
(401) 383-5150
1407182744 JENNIFER SCRANTON KLEINERT RN
Individual
Registered Nurse135 DODGE ST
PROVIDENCE, RI 02907
(401) 274-2500
1124434105 KYLE WALTERS
Individual
Registered Nurse135 DODGE ST
PROVIDENCE, RI 02907
(401) 383-5150
1285025114 ELIZABETH FINAN RN, BSN
Individual
Registered Nurse135 DODGE ST
PROVIDENCE, RI 02907
(401) 383-5150
1184008088BANNISTER OPERATIONS ASSOC LLC
Organization
Skilled Nursing Facility135 DODGE ST STREET
PROVIDENCE, RI 02907
(401) 521-9600
1144845017SIGHTRITE MEDICAL RI LLC
Organization
Optometrist135 DODGE ST
PROVIDENCE, RI 02907
(212) 764-0008
1326478983 KENNETH ADAMO JR.
Individual
Registered Nurse135 DODGE ST
PROVIDENCE, RI 02907
(401) 274-2500
1851123301ADVINIACARE PROVIDENCE DODGE REHAB CENTER LLC
Organization
Skilled Nursing Facility135 DODGE ST
PROVIDENCE, RI 02907
(401) 521-9600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427177005, enumerated in the NPI registry as an "organization" on March 28, 2007

The provider is located at 135 Dodge St Providence, Ri 02907 and the phone number is (401) 521-9600

This medical organization specializes in Skilled Nursing Facility with taxonomy code 3140N1450X with a focus in Nursing Care, Pediatric

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 41D0084194 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 28, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.