Healthcare Provider Details

I. General information

NPI: 1609994763
Provider Name (Legal Business Name): OCEAN STATE NURSING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 MENDON RD
CUMBERLAND RI
02864-1859
US

IV. Provider business mailing address

3929 MENDON RD
CUMBERLAND RI
02864-1859
US

V. Phone/Fax

Practice location:
  • Phone: 401-405-3810
  • Fax: 401-405-3815
Mailing address:
  • Phone: 401-405-3810
  • Fax: 401-405-3815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number02251
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBRA DRISCOLL
Title or Position: CEO
Credential:
Phone: 401-405-3810