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

642 Metacom Avenue Operations LLC

Organization Skilled Nursing Facility · NPI 1265683874

642 Metacom Avenue Operations LLC is a Skilled Nursing Facility in Warren, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2008.

Licensed in
RI
In the registry since
2008
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

642 Metacom Ave
Warren, RI 02885-2350
Phone: (401) 245-2860
Fax: (401) 245-0959
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence LTC00733 (RI)

Record details

NPI number1265683874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Berg — Assistant Secretary · (505) 468-4742
Other names Warren Skilled Nursing And Rehabilitation
NPI enumeratedOctober 2, 2008
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024
Mailing address642 Metacom Ave, Warren, RI 02885-2350

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