Healthcare Provider Details

I. General information

NPI: 1811253370
Provider Name (Legal Business Name): JUST KIDS R.I. SICK CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MEEHAN LN
CUMBERLAND RI
02864-1413
US

IV. Provider business mailing address

2 MEEHAN LN
CUMBERLAND RI
02864-1413
US

V. Phone/Fax

Practice location:
  • Phone: 401-658-2525
  • Fax: 401-658-3031
Mailing address:
  • Phone: 401-658-2525
  • Fax: 401-658-3031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MAUREEN CROTTY
Title or Position: PRESIDENT
Credential: MD
Phone: 401-658-2525