Healthcare Provider Details

I. General information

NPI: 1609955822
Provider Name (Legal Business Name): HOPE NURSING HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1049 PARK AVE
CRANSTON RI
02910-3238
US

IV. Provider business mailing address

1049 PARK AVE
CRANSTON RI
02910-3238
US

V. Phone/Fax

Practice location:
  • Phone: 401-467-8588
  • Fax: 401-467-4224
Mailing address:
  • Phone: 401-467-8588
  • Fax: 401-467-4224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHNC02315
License Number StateRI

VIII. Authorized Official

Name: MRS. MARY ROBERTS SAWYER
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 252-724-6145