Healthcare Provider Details

I. General information

NPI: 1043817927
Provider Name (Legal Business Name): RHODE ISLAND REHABILITATION HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 EDDIE DOWLING HWY
NORTH SMITHFIELD RI
02896-7327
US

IV. Provider business mailing address

116 EDDIE DOWLING HWY
NORTH SMITHFIELD RI
02896-7327
US

V. Phone/Fax

Practice location:
  • Phone: 401-769-4110
  • Fax: 401-762-3112
Mailing address:
  • Phone: 401-769-4110
  • Fax: 401-762-3112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: BRENDA MELONE
Title or Position: HOSPITAL CEO
Credential:
Phone: 401-532-7001