# INNOVATIVE SENIOR CARE HOME HEALTH OF RHODE ISLAND LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Nurse On Call
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578839361
- **Authorized official:** NICHOLAS GACHASSISN III (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 640 GEORGE WASHINGTON HIGHWAY, BUILDING C, SUITE 104, LINCOLN, RI 02865-4244
- **Practice address phone:** (401) 726-7744
- **Practice address fax:** (401) 726-7774
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1304
- **Mailing address fax:** (337) 443-4154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HNC02367 | RI | Yes |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 05/02/2022