Organization Active NPI

Care Resource, LLC

  • Home Health Agency
  • Riverside, RI
National Provider Identifier
1982864815
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HNC02337 Issued in RI
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IR72980MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

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

DateEventCounterparty
Mar 1, 2019 Change of OwnershipThis provider was the seller Enhabit Home HealthCCN 417064, RI, NPI 1184188195

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.