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

Pawtucket SNF Operator LLC

Organization Skilled Nursing Facility · NPI 1285242610

Pawtucket SNF Operator LLC is a Skilled Nursing Facility in Pawtucket, Rhode Island. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

70 Gill Ave
Pawtucket, RI 02861-4315
Phone: (401) 722-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1285242610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Kagan — Owner · (410) 877-6630
NPI enumeratedJuly 22, 2020
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020
Mailing address70 Gill Ave, Pawtucket, RI 02861-4315

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