Provider Demographics
NPI:1447386610
Name:JAMESTOWN HOME HEALTH CARE
Entity Type:Organization
Organization Name:JAMESTOWN HOME HEALTH CARE
Other - Org Name:CONSISTENT CARE CTG CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHEAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,CHCE
Authorized Official - Phone:401-423-1062
Mailing Address - Street 1:8 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02835-1204
Mailing Address - Country:US
Mailing Address - Phone:401-423-1062
Mailing Address - Fax:401-423-3814
Practice Address - Street 1:8 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:RI
Practice Address - Zip Code:02835-1204
Practice Address - Country:US
Practice Address - Phone:401-423-1062
Practice Address - Fax:401-423-3814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-24
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02312251E00000X
RINPA00044251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIHNC02312Medicaid
RINPA00044OtherNURSING SERVICE AGENCY