Healthcare Provider Details

I. General information

NPI: 1003725425
Provider Name (Legal Business Name): CLOSE TO HOME NURSING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NEW LONDON AVE STE LL2
CRANSTON RI
02920-3036
US

IV. Provider business mailing address

1150 NEW LONDON AVE STE LL2
CRANSTON RI
02920-3036
US

V. Phone/Fax

Practice location:
  • Phone: 401-473-3920
  • Fax:
Mailing address:
  • Phone: 401-473-3920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JACKELINE NUNEZ
Title or Position: CEO
Credential:
Phone: 401-301-4419