MEDICARE: HOME CARE ASSOCIATES OF R.I., INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1235756974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE ASSOCIATES OF R.I., INC

Provider Business Mailing Address
First Line	:	264 AMITY RD STE 208
Second Line	:
City	:	WOODBRIDGE
State	:	CT
Zip	:	06525-2200
Country	:	US
Telephone Number	:	203-298-9700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1865 POST RD STE 103
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-1547
Country	:	US
Telephone Number	:	401-384-7900
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATIVE MANAGER
Name	:	JESSICA BRIDGHAM
Credential	:
Telephone Number	:	203-907-5160

Provider Enumeration Date	:	06/29/2020
Last Update Date	:	08/10/2023

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