Healthcare Provider Details

I. General information

NPI: 1164164687
Provider Name (Legal Business Name): COMPANION CARE OF NURSING PLACEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

588 PAWTUCKET AVE
PAWTUCKET RI
02860-6057
US

IV. Provider business mailing address

588 PAWTUCKET AVE
PAWTUCKET RI
02860-6057
US

V. Phone/Fax

Practice location:
  • Phone: 401-728-6500
  • Fax: 401-728-6509
Mailing address:
  • Phone: 401-728-6500
  • Fax: 401-728-6509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL A BIGNEY
Title or Position: ADMINISTRATOR
Credential: CPA
Phone: 401-728-6500