OrganizationActive
Src Providence, LLC
NPI 1336513811 · Skilled Nursing Facility · Providence, RI
Src Providence, LLC is a Skilled Nursing Facility organization in Providence, RI (NPI 1336513811).
Provider details
- NPI number
- 1336513811
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tamilyn Levin, Chief Financial Officer(781) 707-9510
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
353 Blackstone Blvd
Providence, RI 02906-4936
Phone: (401) 273-6565
Street-level locationGet directions
Mailing address
63 Kendrick St
Needham, MA 02494-2708
Registry dates
- Enumerated
- 2015-11-20
- Last updated
- 2015-11-20
Frequently asked questions
- What is Src Providence, LLC's NPI number?
- Src Providence, LLC's National Provider Identifier (NPI) is 1336513811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Src Providence, LLC?
- Src Providence, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Src Providence, LLC located?
- Src Providence, LLC's practice location on file with NPPES is 353 Blackstone Blvd, Providence, RI 02906-4936.
- What is Src Providence, LLC's phone number?
- The practice phone number listed in the NPPES registry for Src Providence, LLC is (401) 273-6565.
- Who is the authorized official for Src Providence, LLC?
- The authorized official listed on Src Providence, LLC's NPPES record is Tamilyn Levin, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Src Providence, LLC's NPI active?
- Yes — Src Providence, LLC's NPI (1336513811) is active in the NPPES registry as of the last update on 2015-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.