Provider Demographics
NPI:1790851590
Name:HOPEHEALTH HOSPICE & PALLIATIVE CARE
Entity Type:Organization
Organization Name:HOPEHEALTH HOSPICE & PALLIATIVE CARE
Other - Org Name:HOPE HOSPICE & PALLIATIVE CARE RHODE ISLAND
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CAO & CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MACINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-415-4230
Mailing Address - Street 1:1085 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-5719
Mailing Address - Country:US
Mailing Address - Phone:401-415-4230
Mailing Address - Fax:401-223-2395
Practice Address - Street 1:1085 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-5719
Practice Address - Country:US
Practice Address - Phone:401-415-4230
Practice Address - Fax:401-223-2395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHSP01620251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1871674796 027Medicaid
RI709003327Medicare Oscar/Certification