# COVENTRY HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427155613
- **Authorized official:** MR. NICHOLAS PASSARELLI JR. (PRESIDENT)
- **Authorized official phone:** (401) 943-6230

## Contact information

- **Practice address:** 1060 TIOGUE AVE, COVENTRY, RI 02816-6114
- **Practice address phone:** (401) 823-5300
- **Practice address fax:** (401) 823-0897
- **Mailing address:** 227 PHENIX AVE, CRANSTON, RI 02920-4013
- **Mailing address phone:** (401) 943-6230
- **Mailing address fax:** (401) 943-6265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCP02418 | RI | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020
