Provider Demographics
| NPI: | 1790001840 |
|---|---|
| Name: | SEVEN HILLS RHODE ISLAND INC |
| Entity type: | Organization |
| Organization Name: | SEVEN HILLS RHODE ISLAND INC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | VICE PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | MARISSA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | RUFF |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MS |
| Authorized Official - Phone: | 401-597-6700 |
| Mailing Address - Street 1: | 80 FABIEN STREET |
| Mailing Address - Street 2: | |
| Mailing Address - City: | WOONSOCKET |
| Mailing Address - State: | RI |
| Mailing Address - Zip Code: | 02895 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 401-597-6700 |
| Mailing Address - Fax: | 401-597-6706 |
| Practice Address - Street 1: | 80 FABIEN STREET |
| Practice Address - Street 2: | |
| Practice Address - City: | WOONSOCKET |
| Practice Address - State: | RI |
| Practice Address - Zip Code: | 02895 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 401-597-6700 |
| Practice Address - Fax: | 401-597-6706 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2010-04-14 |
| Last Update Date: | 2023-07-27 |
| Deactivation Date: | 2023-04-21 |
| Deactivation Code: | |
| Reactivation Date: | 2023-07-26 |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 253Z00000X | Agencies | In Home Supportive Care |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| RI | TH80988 | Medicaid |