Healthcare Provider Details

I. General information

NPI: 1164822474
Provider Name (Legal Business Name): ADCARE RHODE ISLAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2014
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 TOWER HILL RD
NORTH KINGSTOWN RI
02852-6639
US

IV. Provider business mailing address

500 WILSON PIKE CIR STE 360
BRENTWOOD TN
37027-3266
US

V. Phone/Fax

Practice location:
  • Phone: 401-294-6160
  • Fax: 401-295-2513
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: SARAH K HORGAN
Title or Position: FACILITY EXECUTIVE DIRECTOR
Credential:
Phone: 401-294-6160