Provider Demographics
NPI:1184743965
Name:COMMUNITY CARE NURSES, INC.
Entity type:Organization
Organization Name:COMMUNITY CARE NURSES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BENWAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:401-295-8862
Mailing Address - Street 1:PO BOX 670
Mailing Address - Street 2:
Mailing Address - City:WEST KINGSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02892-0670
Mailing Address - Country:US
Mailing Address - Phone:401-295-8862
Mailing Address - Fax:401-295-9780
Practice Address - Street 1:6946 POST RD
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-7611
Practice Address - Country:US
Practice Address - Phone:401-295-8862
Practice Address - Fax:401-295-9780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02305251E00000X, 251J00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies