NPIMap

Organization Active NPI

Lifespan Corp Lfspn Dsi Dba Hospice of Ri

Doing business as Home & Hospice Care of Rhode Island

  • Home Health Agency
  • Pawtucket, RI
National Provider Identifier
1083799530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HNC02313 Issued in RI
Legal business name
LIFESPAN CORP LFSPN DSI DBA HOSPICE OF RI
Doing business as
Home & Hospice Care of Rhode Island
Practice address
169 George St
Pawtucket, RI 02860-3853
Phone
(401) 727-7070
Fax
(401) 312-2321
NPI assigned
Oct 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresa Helgerson
Title
Patient Accounts Manager
Phone
(401) 724-3287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HNC02313 RI Primary

Addresses

Primary practice location

169 George St
Pawtucket, RI 02860-3853

Mailing address

169 George St
Pawtucket, RI 02860-3853
Phone (401) 727-7070

Other identifiers 3

IdentifierTypeStateIssuer
CP003718OtherBLUE CHIP OF RI
58056OtherBLUE CROSS OF RI
HC04010MedicaidRI

Other names 1

  • HOME & HOSPICE CARE OF RHODE ISLAND Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083799530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 GEORGE ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603853",
            "telephone_number": "401-727-7070",
            "fax_number": "401-312-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 GEORGE ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603853",
            "telephone_number": "401-727-7070",
            "fax_number": "401-312-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN CORP LFSPN DSI DBA HOSPICE OF RI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HELGERSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "401-724-3287"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "RI",
            "license": "HNC02313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RI",
            "identifier": "CP003718",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF RI",
            "identifier": "58056",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC04010",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME & HOSPICE CARE OF RHODE ISLAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.