Provider Demographics
NPI:1538216635
Name:HEALTH CARE CONNECTIONS
Entity type:Organization
Organization Name:HEALTH CARE CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-437-3515
Mailing Address - Street 1:425 WILLETT AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-2514
Mailing Address - Country:US
Mailing Address - Phone:401-437-3515
Mailing Address - Fax:401-437-0635
Practice Address - Street 1:425 WILLETT AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-2514
Practice Address - Country:US
Practice Address - Phone:401-437-3515
Practice Address - Fax:401-437-0635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02274251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIHC34627Medicaid
RIHC34374Medicaid