Provider Demographics
NPI:1497826515
Name:NURSING PLACEMENT HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:NURSING PLACEMENT HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BIGNEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:401-728-6510
Mailing Address - Street 1:334 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-3821
Mailing Address - Country:US
Mailing Address - Phone:401-728-6510
Mailing Address - Fax:401-728-6509
Practice Address - Street 1:334 EAST AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-3821
Practice Address - Country:US
Practice Address - Phone:401-728-6510
Practice Address - Fax:401-728-6509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-11
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02299251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI5872-0OtherBLUE CROSS
RI41-1498OtherBLUE CHIP
RI41-07055Medicaid
RI5872-0OtherBLUE CROSS