| Organization Name: | PRIME HEALTHCARE SERVICES-LANDMARK LLC |
| NPI Number: | 1902883275 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD CHAREST (CEO) |
| Mailing Address: | 116 Eddie Dowling Hwy North Smithfield |
| State: | RI US |
| Postal Code: | 028967327 |
| Phone Number: | 4017660800 |
| Fax Number: | 4017623112 |
| NPI Enumeration Date: | 12/28/2005 |
| NPI Last Update Date: | 02/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283X00000X |
| License Number: | 02102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Rehabilitation Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |