Latin Adult Day Health Care Center: Home Care Services, LLC
Organization Active NPI Homemaker · Providence, RI
NPI 1720575426 · NPPES record last updated Jul 2, 2018
Key facts
- NPI
- 1720575426
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Homemaker 376J00000X
- License
- HCP02470 (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
- Organization subpart
- No
Authorized official
- Name
- Mario Mancebo
- Title
- Owner
- Phone
- (401) 288-8672
National Provider Directory
Locations
665 Charles St
Providence, RI 02904
Phone (401) 272-3252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker |
376J00000X | HCP02470 | RI | Yes |
Addresses
Primary practice location
665 Charles Street
Providence, RI 02904
Mailing address
665 Charles Street
Providence, RI 02904
Phone (401) 288-8672
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013308188 | Medicaid | RI |
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.