Healthcare Provider Details

I. General information

NPI: 1386774289
Provider Name (Legal Business Name): GLEASON MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 RESERVOIR AVE SUITE 112
CRANSTON RI
02920-6055
US

IV. Provider business mailing address

1145 RESERVOIR AVE SUITE 112
CRANSTON RI
02920-6055
US

V. Phone/Fax

Practice location:
  • Phone: 401-943-3536
  • Fax: 401-943-0396
Mailing address:
  • Phone: 401-943-3536
  • Fax: 401-943-0396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHNC02254
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHNC02254
License Number StateRI

VIII. Authorized Official

Name: MRS. PATRICIA A GLEASON
Title or Position: PRESIDENT
Credential: RN
Phone: 401-943-3536