# WATERVIEW RI SNF, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATHENA HEALTH CARE SYSTEMS RI LLC
- **Other names:** Waterview Villa Rehabilitation & Health Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053313791
- **Legal business name:** ATHENA HEALTH CARE SYSTEMS RI LLC
- **Authorized official:** LAWRENCE G. SANTILLI (MANAGER)
- **Authorized official phone:** (860) 751-3900

## Contact information

- **Practice address:** 1275 S BROADWAY, EAST PROVIDENCE, RI 02914-4932
- **Practice address phone:** (401) 438-7020
- **Practice address fax:** (401) 438-0013
- **Mailing address:** 1275 S BROADWAY, EAST PROVIDENCE, RI 02914-4932
- **Mailing address phone:** (401) 438-7020
- **Mailing address fax:** (401) 438-0013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | C610 | RI | Yes |

## Other

- **Enumeration date:** 08/12/2005
- **Last updated:** 02/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | WA85796 | — | RI |