Provider Demographics
NPI:1942619143
Name:SISTERS OF PROVIDENCE CARE CENTERS, INC.
Entity Type:Organization
Organization Name:SISTERS OF PROVIDENCE CARE CENTERS, INC.
Other - Org Name:MERCY COMPANIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO OF THE CCN NETWORK
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-539-2917
Mailing Address - Street 1:2112 RIVERDALE ST
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-1075
Mailing Address - Country:US
Mailing Address - Phone:413-539-2942
Mailing Address - Fax:413-539-2863
Practice Address - Street 1:2112 RIVERDALE ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-1075
Practice Address - Country:US
Practice Address - Phone:413-539-2942
Practice Address - Fax:413-539-2863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care