Organization Active NPI

Latin Adult Day Health Care Center: Home Care Services, LLC

  • Homemaker
  • Providence, RI
National Provider Identifier
1720575426
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
HCP02470 Issued in RI
Legal business name
LATIN ADULT DAY HEALTH CARE CENTER: HOME CARE SERVICES, LLC
Practice address
665 Charles Street
Providence, RI 02904
Phone
(401) 288-8672
Fax
(401) 603-0912
NPI assigned
Apr 18, 2018
Last updated
Jul 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Mario Mancebo
Title
Owner
Phone
(401) 288-8672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X HCP02470 RI Primary

Addresses

Primary practice location

665 Charles Street
Providence, RI 02904

Mailing address

665 Charles Street
Providence, RI 02904
Phone (401) 288-8672

National Provider Directory

National Provider Directory

Locations

665 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": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1720575426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CHARLES STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-288-8672",
            "fax_number": "401-603-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CHARLES STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-288-8672",
            "fax_number": "401-603-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATIN ADULT DAY HEALTH CARE CENTER: HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "MANCEBO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-288-8672"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "RI",
            "license": "HCP02470",
            "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 Jul 2, 2018; 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.