=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316125453
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SENIOR HELPERS OF RHODE ISLAND, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/31/2008
-----------------------------------------------------
Last Update Date | 12/07/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 60 QUAKER LN STE #63
-----------------------------------------------------
City | WARWICK
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02886
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-825-7200
-----------------------------------------------------
Fax | 401-825-7204
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 60 QUAKER LN. STE #63
-----------------------------------------------------
City | WARWICK
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02886
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-825-7200
-----------------------------------------------------
Fax | 401-825-7204
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. SORAYA R. NEIGHBORS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 401-825-7200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HCP02458
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------