Organization
IDEAL HOME CARE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY RACHIN (PRESIDENT)
(401) 353-2230
Entity
Organization
Contact information
Practice address
8 MARTIN AVE, NORTH PROVIDENCE, RI 02904-4015
(401) 353-2230
(401) 353-5148
Mailing address
8 MARTIN AVE, NORTH PROVIDENCE, RI 02904-4015
(401) 353-2230
(401) 353-5148
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCP02413
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IH03390
PROVIDER NUMBER
RI
Enumeration date
09/27/2006
Last updated
08/22/2020
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