Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

100 Wampanoag Trail Operating Company, LLC

Skilled Nursing Facility in Riverside, RI · enumerated 2013 · authorized official Jeffrey Rubin, Co-Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093057143

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Registry record

Entity type Organization (Type 2)

Legal business name 100 Wampanoag Trail Operating Company, LLC

Other name <Unavail>

Practice address 100 Wampanoag Trl, Riverside, RI, 02915

Phone (401) 438-4275

Fax (401) 438-8093

Enumeration date Mar 26, 2013

Last updated in NPPES Jan 19, 2023

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Jeffrey Rubin

Title Co-Chief Executive Officer

Phone (716) 817-5075

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-01-19. Verify at npiregistry.cms.hhs.gov.

Where is 100 Wampanoag Trail Operating Company, LLC located?

The practice location on file with NPPES is in Riverside, RI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-19.