Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

100 Wampanoag Trail Operating Company, LLC

Organization Skilled Nursing Facility · NPI 1093057143

100 Wampanoag Trail Operating Company, LLC is a Skilled Nursing Facility in Riverside, Rhode Island. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

100 Wampanoag Trl
Riverside, RI 02915-3736
Phone: (401) 438-4275
Fax: (401) 438-8093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1093057143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Rubin — Co-Chief Executive Officer · (716) 817-5075
Other names Elderwood At Riverside; Elderwood At Riverside
NPI enumeratedMarch 26, 2013
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023
Mailing address500 Seneca St Ste 100, Buffalo, NY 14204-1963

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