Provider Demographics
NPI:1922383546
Name:GRIFFINE HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:GRIFFINE HEALTHCARE SERVICES, LLC
Other - Org Name:ALTERNATIVE CARE MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SLANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-351-1818
Mailing Address - Street 1:304 PEARL ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-2215
Mailing Address - Country:US
Mailing Address - Phone:401-351-1818
Mailing Address - Fax:401-351-1854
Practice Address - Street 1:304 PEARL ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-2215
Practice Address - Country:US
Practice Address - Phone:401-351-1818
Practice Address - Fax:401-351-1854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02361251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health