Healthcare Provider Details

I. General information

NPI: 1043885981
Provider Name (Legal Business Name): ONE STONE L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2021
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 W FOUNTAIN ST STE 106
PROVIDENCE RI
02903-3515
US

IV. Provider business mailing address

55 JOHN CLARKE RD
MIDDLETOWN RI
02842-5686
US

V. Phone/Fax

Practice location:
  • Phone: 401-602-8849
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL BRIAN WALSH
Title or Position: CEO/OWNER
Credential: RN
Phone: 401-602-8849