Healthcare Provider Details

I. General information

NPI: 1902376833
Provider Name (Legal Business Name): COMPASSIONATE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2018
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 BLACKSTONE VALLEY PLACE BLDG 1, SUITE 100
LINCOLN RI
02865
US

IV. Provider business mailing address

6 BLACKSTONE VALLEY PLACE BLDG 1, SUITE 100
LINCOLN RI
02865-1112
US

V. Phone/Fax

Practice location:
  • Phone: 401-767-8766
  • Fax: 866-486-1245
Mailing address:
  • Phone: 401-767-8766
  • Fax: 866-486-1245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. LINDA YOUNG
Title or Position: OWNER
Credential: APRN
Phone: 401-767-8766