MEDICARE: OCEAN STATE COMMUNITY RESOURCES, 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	97	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CH02249	OTHER	RI	PROVIDER NUMBER

General Provider Information

NPI Number	:	1598883696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEAN STATE COMMUNITY RESOURCES, INC.

Provider Business Mailing Address
First Line	:	310 MAPLE AVE
Second Line	:	SUITE 102
City	:	BARRINGTON
State	:	RI
Zip	:	02806-3430
Country	:	US
Telephone Number	:	401-245-7900
Fax Number	:	401-245-7910

Provider Business Practice Location Address
First Line	:	70 COBBLE HILL RD
Second Line	:
City	:	LINCOLN
State	:	RI
Zip	:	02865-4006
Country	:	US
Telephone Number	:	401-726-3652
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. DAVID C REISS
Credential	:
Telephone Number	:	401-245-7900

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1245258755 — WAL-MART STORES EAST LP
Practice Location Address:

250 W BROADWAY
LINCOLN, ME
04457-4006

Practice Phone: 207-794-2055
Practice Fax: 479-277-4331

1609883768 — MRS. SUZANNE S CLELAND ZAMUDIO MD
Practice Location Address:

2705 E LINCOLN AVE
SUNNYSIDE, WA
98944-4006

Practice Phone: 509-836-4848
Practice Fax: 509-836-4849

1740352798 — DR. JOSEPH A GEORGE M.D.
Practice Location Address:

4006 FORT ST
LINCOLN PARK, MI
48146-4111

Practice Phone: 313-386-3200
Practice Fax: 313-388-3335

1285800094 — JOSEPH A. GEORGE,MD,PC
Practice Location Address:

4006 FORT ST
LINCOLN PARK, MI
48146-4111

Practice Phone: 313-386-3200
Practice Fax: 313-388-3335

1376808063 — RONEECE PIETERS
Practice Location Address:

1219 LINCOLN PL
BROOKLYN, NY
11213-4006

Practice Phone: 347-585-5948
Practice Fax:

1841639119 — SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Practice Location Address:

2705 E LINCOLN AVE
SUNNYSIDE, WA
98944-4006

Practice Phone: 509-836-4848
Practice Fax:

Directions to “OCEAN STATE COMMUNITY RESOURCES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.