Provider Demographics
NPI:1144967985
Name:MARIA CARE LLC
Entity type:Organization
Organization Name:MARIA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RODAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-442-7156
Mailing Address - Street 1:14 JOSLIN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02909-2534
Mailing Address - Country:US
Mailing Address - Phone:401-442-7156
Mailing Address - Fax:
Practice Address - Street 1:14 JOSLIN ST APT 1
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909-2534
Practice Address - Country:US
Practice Address - Phone:401-442-7156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty