AIDS CARE OCEAN STATE INC. NPI 1700902392

NPI Information

AIDS CARE OCEAN STATE, INC. is a residential treatment facility emotionally disturbed children in Providence, RI. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. AIDS CARE OCEAN STATE, INC. NPI is 1700902392. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Community Housing, Inc..

The provider's business location address is:

557 BROAD ST
PROVIDENCE, RI
ZIP 02907-403
Phone: (401) 273-1888
Fax: (401) 454-1927

The provider's authorized official is Gina Mercure .
The authorized official title is Coo and has the following contact phone number (401) 521-3603.

The CLIA number assigned to this NPI record is 41D1023663 - mobile lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 5/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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