Provider Demographics
NPI:1982279626
Name:AWARE RECOVERY CARE OF RHODE ISLAND, LLC
Entity Type:Organization
Organization Name:AWARE RECOVERY CARE OF RHODE ISLAND, LLC
Other - Org Name:AWARE RECOVERY CARE INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MERHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-779-5799
Mailing Address - Street 1:35 THORPE AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-1948
Mailing Address - Country:US
Mailing Address - Phone:203-779-5799
Mailing Address - Fax:203-421-6830
Practice Address - Street 1:1041 TEN ROD RD
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4125
Practice Address - Country:US
Practice Address - Phone:203-779-5799
Practice Address - Fax:203-421-6830
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AWARE RECOVERY CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-25
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility