Healthcare Provider Details

I. General information

NPI: 1982864815
Provider Name (Legal Business Name): CARE RESOURCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 01/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HEMINGWAY DR SUITE 100
RIVERSIDE RI
02915-2224
US

IV. Provider business mailing address

2 HEMINGWAY DR SUITE 100
RIVERSIDE RI
02915-2224
US

V. Phone/Fax

Practice location:
  • Phone: 401-431-0200
  • Fax: 401-431-0204
Mailing address:
  • Phone: 401-431-0200
  • Fax: 401-431-0204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberPHA00449
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHNC02337
License Number StateRI

VIII. Authorized Official

Name: MS. MARIAN MARCOCCIO
Title or Position: VP OPERATIONS
Credential:
Phone: 401-431-0200