Organization Active NPI

Latin Adult Day Health Care Center

  • Adult Day Care Clinic/Center
  • Providence, RI
National Provider Identifier
1013308188
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADC00038 Issued in RI
Legal business name
LATIN ADULT DAY HEALTH CARE CENTER
Practice address
663 Charles St
Providence, RI 02904-1350
Phone
(401) 709-2392
Fax
(401) 603-0912
NPI assigned
Feb 11, 2015
Last updated
Mar 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mario Mancebo
Title
Director
Phone
(401) 709-2392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADC00038 RI Primary

Addresses

Primary practice location

663 Charles St
Providence, RI 02904-1350

Mailing address

665 Charles St
Providence, RI 02904
Phone (401) 709-2392

National Provider Directory

National Provider Directory
Tax ID family
Latin Adult Day Health Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

663 Charles St
Providence, RI 02904
Phone (401) 272-3252

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1013308188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CHARLES ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-709-2392",
            "fax_number": "401-603-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 CHARLES ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041350",
            "telephone_number": "401-709-2392",
            "fax_number": "401-603-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATIN ADULT DAY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "MANCEBO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-709-2392",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "RI",
            "license": "ADC00038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.