Organization
HEBERT NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL J HEBERT (ADMINISTRATOR)
(401) 231-7016
Entity
Organization
Contact information
Practice address
180 LOG RD, SMITHFIELD, RI 02917-1518
(401) 231-7016
(401) 231-4018
Mailing address
180 LOG RD, SMITHFIELD, RI 02917-1518
(401) 231-7016
(401) 231-4018
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
RI264
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402577
BLUE CHIP
RI
05
—
410549
—
RI
01
—
5088-1
BLUE CROSS & BLUE SHIELD
RI
01
—
7109090
UNITED HEALTHCARE OF NE
RI
Enumeration date
05/23/2005
Last updated
08/22/2020
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