Provider Demographics
NPI:1013903376
Name:CON-V-CARE, INC
Entity Type:Organization
Organization Name:CON-V-CARE, INC
Other - Org Name:WOONSOCKET HEALTH CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR-FACILITIES OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBBIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:401-765-2100
Mailing Address - Street 1:262 POPLAR STREET
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-5429
Mailing Address - Country:US
Mailing Address - Phone:401-765-2100
Mailing Address - Fax:401-232-7275
Practice Address - Street 1:262 POPLAR ST.
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-5429
Practice Address - Country:US
Practice Address - Phone:401-765-2100
Practice Address - Fax:401-232-7275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI606314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI606Medicaid
RI606Medicaid