Organization
PACE ORGANIZATION OF RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MCANAUGH (CFO)
(401) 434-1400
Entity
Organization
Contact information
Practice address
10 TRIPPS LANE, RIVERSIDE, RI 02915
(401) 654-4789
(401) 654-4660
Mailing address
10 TRIPPS LANE, RIVERSIDE, RI 02915
(401) 654-4789
(401) 654-4660
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
302F00000X
Exclusive Provider Organization
Primary
19
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H4105
PACE DHS CONTRACT #
—
Enumeration date
12/21/2005
Last updated
07/09/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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