Provider Demographics
NPI:1982864815
Name:CARE RESOURCE, LLC
Entity Type:Organization
Organization Name:CARE RESOURCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCOCCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-431-0200
Mailing Address - Street 1:2 HEMINGWAY DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-2224
Mailing Address - Country:US
Mailing Address - Phone:401-431-0200
Mailing Address - Fax:401-431-0204
Practice Address - Street 1:2 HEMINGWAY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-2224
Practice Address - Country:US
Practice Address - Phone:401-431-0200
Practice Address - Fax:401-431-0204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02337251E00000X
251F00000X
RIPHA00449332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIIR72980Medicaid
RI6247700001Medicare PIN
RIIR72980Medicaid
RI417064Medicare Oscar/Certification