Provider Demographics
NPI:1427531359
Name:JOY HOME CARE INC.
Entity type:Organization
Organization Name:JOY HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KERNAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MPH
Authorized Official - Phone:401-935-9387
Mailing Address - Street 1:13 FRANK LOW ST
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-3727
Mailing Address - Country:US
Mailing Address - Phone:401-935-9387
Mailing Address - Fax:
Practice Address - Street 1:1515 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02910-3800
Practice Address - Country:US
Practice Address - Phone:401-632-5915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHCP02474251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIHCP02474OtherLICENSE NUMBER
RIHCP02474OtherRHODE ISLAND DEPARTMENT OF HEALTH