Healthcare Provider Details

I. General information

NPI: 1447386610
Provider Name (Legal Business Name): JAMESTOWN HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2007
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CLINTON AVE
JAMESTOWN RI
02835-1204
US

IV. Provider business mailing address

8 CLINTON AVE
JAMESTOWN RI
02835-1204
US

V. Phone/Fax

Practice location:
  • Phone: 401-423-1062
  • Fax: 401-423-3814
Mailing address:
  • Phone: 401-423-1062
  • Fax: 401-423-3814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberNPA00044
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHNC02312
License Number StateRI

VIII. Authorized Official

Name: MS. GAIL M SHEAHAN
Title or Position: PRESIDENT
Credential: RN,BSN,CHCE
Phone: 401-423-1062