Provider Demographics
NPI:1568596351
Name:SEVEN HILLS RHODE ISLAND, INC
Entity Type:Organization
Organization Name:SEVEN HILLS RHODE ISLAND, INC
Other - Org Name:THE HOMESTEAD GROUP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFF
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:401-597-6700
Mailing Address - Street 1:80 FABIEN STREET
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895
Mailing Address - Country:US
Mailing Address - Phone:401-597-6700
Mailing Address - Fax:401-762-0837
Practice Address - Street 1:80 FABIEN STREET
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895
Practice Address - Country:US
Practice Address - Phone:401-597-6700
Practice Address - Fax:401-762-0837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2023-07-27
Deactivation Date:2023-04-21
Deactivation Code:
Reactivation Date:2023-07-26
Provider Licenses
StateLicense IDTaxonomies
RI247261QM1300X
261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI32147OtherNEIGHBORHOOD HEALTH PROV#
RI31892-9OtherBLUE CROSS PROVIDER NUMBE
RIHG63023Medicaid