MEDICARE: RE-FOCUS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	198	RI

General Provider Information

NPI Number	:	1982723987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RE-FOCUS INC.

Provider Business Mailing Address
First Line	:	1228 WESTMINSTER ST
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02909-1413
Country	:	US
Telephone Number	:	401-272-1600
Fax Number	:	401-751-1378

Provider Business Practice Location Address
First Line	:	7 COOKE DR
Second Line	:
City	:	NORTH SCITUATE
State	:	RI
Zip	:	02857-1609
Country	:	US
Telephone Number	:	401-647-3084
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHRISTINE KAVANAGH
Credential	:
Telephone Number	:	401-272-1600

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	08/22/2020

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Directions to “RE-FOCUS INC. ” Practice Location

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