Organization
PHENIX HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS PASSARELLI JR. (PRESIDENT)
(401) 943-6230
Entity
Organization
Contact information
Practice address
227 PHENIX AVE, CRANSTON, RI 02920-4013
(401) 943-6230
(401) 943-6265
Mailing address
227 PHENIX AVE, CRANSTON, RI 02920-4013
(401) 943-6230
(401) 943-6265
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCP02418
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PH02548
—
RI
05
—
PH16189
—
RI
Enumeration date
09/20/2006
Last updated
08/22/2020
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