OrganizationActive
Src East Side, LLC
NPI 1427422906 · Assisted Living Facility · Providence, RI
Src East Side, LLC is a Assisted Living Facility organization in Providence, RI (NPI 1427422906).
Provider details
- NPI number
- 1427422906
- Entity type
- Organization
- Primary specialty
- Assisted Living 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
1 Butler Ave
Providence, RI 02906-5119
Phone: (401) 275-0682
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 East Side, LLC's NPI number?
- Src East Side, LLC's National Provider Identifier (NPI) is 1427422906, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Src East Side, LLC?
- Src East Side, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Src East Side, LLC located?
- Src East Side, LLC's practice location on file with NPPES is 1 Butler Ave, Providence, RI 02906-5119.
- What is Src East Side, LLC's phone number?
- The practice phone number listed in the NPPES registry for Src East Side, LLC is (401) 275-0682.
- Who is the authorized official for Src East Side, LLC?
- The authorized official listed on Src East Side, 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 East Side, LLC's NPI active?
- Yes — Src East Side, LLC's NPI (1427422906) 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.