Healthcare Provider Details

I. General information

NPI: 1902373046
Provider Name (Legal Business Name): ADCARE RHODE ISLAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2018
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 KING CHARLES DR STE A2
PORTSMOUTH RI
02871-1364
US

IV. Provider business mailing address

200 POWELL PL ATTN: LEGAL DEPARTMENT
BRENTWOOD TN
37027-7514
US

V. Phone/Fax

Practice location:
  • Phone: 615-727-8416
  • Fax: 675-457-8094
Mailing address:
  • Phone: 615-732-1605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRED A TRAPASSI
Title or Position: FACILITY CEO
Credential:
Phone: 401-294-6160