Healthcare Provider Details

I. General information

NPI: 1922146141
Provider Name (Legal Business Name): HOPE ALZHEIMER'S CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 BRAYTON AVE
CRANSTON RI
02920-3336
US

IV. Provider business mailing address

25 BRAYTON AVE
CRANSTON RI
02920-3336
US

V. Phone/Fax

Practice location:
  • Phone: 401-946-9220
  • Fax: 401-946-3850
Mailing address:
  • Phone: 401-946-9220
  • Fax: 401-946-3850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CYNTHIA CONANT-ARP
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 401-946-9220