Provider Demographics
NPI:1225029770
Name:CONCORD HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:CONCORD HEALTH SERVICES, INC
Other - Org Name:CONCORD HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:DIFILIPPO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:401-725-8400
Mailing Address - Street 1:30 ROLFE SQ
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-2802
Mailing Address - Country:US
Mailing Address - Phone:401-725-8400
Mailing Address - Fax:
Practice Address - Street 1:30 ROLFE SQ
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-2802
Practice Address - Country:US
Practice Address - Phone:401-725-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-03
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI417049251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI417049Medicare PIN
RI417049Medicare Oscar/Certification