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

Src Blackstone Op, LLC

Organization Assisted Living Facility · NPI 1588200166

Src Blackstone Op, LLC is an Assisted Living Facility in Providence, Rhode Island. Registered with an NPI since 2019.

In the registry since
2019
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

353 Blackstone Blvd
Providence, RI 02906-4936
Phone: (401) 273-6565
Fax: (401) 273-6568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1588200166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Scharf — General Counsel · (781) 707-9030
Other names Wingate Residences On Blackstone Boulevard
NPI enumeratedNovember 19, 2019
Last updated in NPPESNovember 19, 2019
Mailing addressC/O Wingate Healthcare, Inc., 63 Kendrick Street, Needham, MA 02494

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