Healthcare Provider Details

I. General information

NPI: 1760299390
Provider Name (Legal Business Name): KOUZINI HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 MAYFIELD AVE
CRANSTON RI
02920-2034
US

IV. Provider business mailing address

112 MAYFIELD AVE
CRANSTON RI
02920-2034
US

V. Phone/Fax

Practice location:
  • Phone: 401-935-0220
  • Fax:
Mailing address:
  • Phone: 401-935-0220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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 TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ELAINE PARKER-WILLIAMS
Title or Position: OWNER
Credential: APRN
Phone: 401-935-0220