Provider Demographics
NPI:1598080699
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:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GADBOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-775-1500
Mailing Address - Street 1:30 CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-3341
Mailing Address - Country:US
Mailing Address - Phone:401-775-1500
Mailing Address - Fax:
Practice Address - Street 1:80 FABIEN ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-6277
Practice Address - Country:US
Practice Address - Phone:401-765-3700
Practice Address - Fax:401-766-9046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-31
Last Update Date:2023-08-11
Deactivation Date:2023-04-21
Deactivation Code:
Reactivation Date:2023-08-11
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIHO79487Medicaid