Healthcare Provider Details

I. General information

NPI: 1306947833
Provider Name (Legal Business Name): COWESETT HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 10/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2181 POST RD
WARWICK RI
02886
US

IV. Provider business mailing address

2181 POST RD
WARWICK RI
02886
US

V. Phone/Fax

Practice location:
  • Phone: 401-921-5644
  • Fax: 401-921-1708
Mailing address:
  • Phone: 401-921-5644
  • Fax: 401-921-1708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHCP02437
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License NumberHCP02437
License Number StateRI

VIII. Authorized Official

Name: MR. JOHN E BUCCI JR.
Title or Position: PRESIDENT
Credential:
Phone: 401-921-5644