Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prospect Chartercare Sjhsri, LLC

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1821656034

Prospect Chartercare Sjhsri, LLC is an Addiction Medicine (Internal Medicine) Physician in N Providence, Rhode Island. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

200 High Service Ave
N Providence, RI 02904-5113
Phone: (310) 943-4500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X

Record details

NPI number1821656034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Elders — Secretary · (714) 788-1249
NPI enumeratedJune 3, 2019
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021
Mailing address200 High Service Ave, North Providence, RI 02904-5113