Provider Demographics
NPI:1841413994
Name:HOMECARE ADVANTAGE CHC INC.
Entity Type:Organization
Organization Name:HOMECARE ADVANTAGE CHC INC.
Other - Org Name:HOMECARE ADVANTAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-781-3400
Mailing Address - Street 1:165 BURNSIDE ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-1149
Mailing Address - Country:US
Mailing Address - Phone:401-781-3400
Mailing Address - Fax:401-781-3401
Practice Address - Street 1:165 BURNSIDE ST
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-1149
Practice Address - Country:US
Practice Address - Phone:401-781-3400
Practice Address - Fax:401-781-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02284251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI60-00189OtherUNITED HEALTH
RI5859-1OtherBCBS
RI403881-1OtherBCHIP
RI27777OtherNEIGHBORHOOD HEALTH
RI403881-1OtherBCHIP
RI27777OtherNEIGHBORHOOD HEALTH