Active NPI
Latin Adult Day Health Care Center
- Adult Day Care Clinic/Center
- Providence, RI
National Provider Identifier
1013308188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- ADC00038
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Providence, RI
- NPI 1699148999
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
- Nancy C Lasson, D.O.
- Peter Mitchell Latham, D.D.S.
- Claire Elizabeth Laties-Davis, MS SLP
- Syed A. Latif, PH.D.
- Anissa Latifi
- Latin Adult Day Health Care Center
- Latin Adult Day Health Care Center: Home Care Services, LLC
- Latino Psychological Institute
- Latino Psychological Institute, Inc.
- Edouard Antonio Latortue
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.