Active NPI
Care Resource, LLC
- Home Health Agency
- Riverside, RI
National Provider Identifier
1982864815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HNC02337
- Legal business name
- CARE RESOURCE, LLC
- Practice address
- 2 Hemingway Dr
Suite 100
Riverside, RI 02915-2224 - Phone
- (401) 431-0200
- Fax
- (401) 431-0204
- NPI assigned
- Jun 13, 2008
- Last updated
- Jan 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marian Marcoccio
- Title
- VP Operations
- Phone
- (401) 431-0200
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HNC02337 | RI | Primary |
| Home Infusion Agency | 251F00000X | NU | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | PHA00449 | RI |
Addresses
Primary practice location
2 Hemingway Dr
Suite 100
Riverside, RI 02915-2224
Mailing address
2 Hemingway Dr
Suite 100
Riverside, RI 02915-2224
Phone (401) 431-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IR72980 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
2 Hemingway Dr
Riverside, RI 02915
Phone (401) 431-0200
2 Hemingway Dr
#100
Riverside, RI 02915
Phone (401) 431-0200
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Mar 1, 2019 | Change of Ownership | Enhabit Home Health |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Enhabit Home Health
- Home Health Agency
- Warwick, RI
- NPI 1184188195
Sold to, 2019-03-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485388800000",
"number": "1982864815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HEMINGWAY DR",
"address_2": "SUITE 100",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029152224",
"telephone_number": "401-431-0200",
"fax_number": "401-431-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HEMINGWAY DR",
"address_2": "SUITE 100",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029152224",
"telephone_number": "401-431-0200",
"fax_number": "401-431-0204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE RESOURCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-13",
"last_updated": "2017-01-26",
"status": "A",
"authorized_official_last_name": "MARCOCCIO",
"authorized_official_first_name": "MARIAN",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "401-431-0200",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "RI",
"license": "HNC02337",
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "RI",
"license": "PHA00449",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IR72980",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.