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

Src Providence, LLC

Organization Skilled Nursing Facility · NPI 1336513811

Src Providence, LLC is a Skilled Nursing Facility in Providence, Rhode Island. Registered with an NPI since 2015.

In the registry since
2015
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
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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 number1336513811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamilyn Levin — Chief Financial Officer · (781) 707-9510
NPI enumeratedNovember 20, 2015
Last updated in NPPESNovember 20, 2015
Mailing address63 Kendrick St, Needham, MA 02494-2708

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