The Tavares Pediatric Center INC
Intermediate Care Facility, Intellectual Disabilities in Providence, Rhode Island
1366442899- Practice location
- 101 Plain St, Providence, RI 02903-4824
- Phone
- 401-272-7127
- Fax
- 401-272-4752
- Last updated
- September 11, 2025
The Tavares Pediatric Center INC is a healthcare organization based in Providence, RI. The Tavares Pediatric Center INC practices in Providence, RI. The NPI Number for The Tavares Pediatric Center INC is 1366442899 and holds a License No. RI 642 (RI). The current practice location address for The Tavares Pediatric Center INC is 101 Plain St, Providence, RI 02903-4824 and can be reached out via phone at 401-272-7127 and via fax at 401-272-4752.
Provider Profile Details
- NPI Number
- 1366442899
- Provider Name
- The Tavares Pediatric Center INC
- Provider Entity Type
- Organization
- Address
- 101 Plain St, Providence, RI 02903-4824
- Phone Number
- 401-272-7127
- Fax Number
- 401-272-4752
- Primary Taxonomy
- Intermediate Care Facility, Intellectual Disabilities · 315P00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Eugene F Tavares, LICENSED · Administrator · 401-272-7127
- Provider Enumeration Date
- July 27, 2005
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Plain St
Providence, RI 02903-4824 - City
- Providence
- State
- Rhode Island
- Zip
- 02903-4824
- Phone Number
- 401-272-7127
- Fax Number
- 401-272-4752
Provider Business Mailing Address Details
- Address
- 101 Plain St
Providence, RI 02903-4824 - City
- Providence
- State
- RI
- Zip
- 02903-4824
- Phone Number
- 401-272-7127
- Fax Number
- 401-272-4752
License Information
- License Number (1)
- RI 642
- License State (1)
- RI
- Taxonomy (1)
- Skilled Nursing Facility · 314000000X
- License Number (2)
- RI 642
- License State (2)
- RI
- Taxonomy (2)
- Intermediate Care Facility, Intellectual Disabilities · 315P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Intermediate Care Facility, Intellectual Disabilities providers near Providence, RI
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- Greater Providence Chapter,riarcIntermediate Care Facility, Intellectual Disabilities · NPI 1245356955
- Greater Providence Chapter,riarcIntermediate Care Facility, Intellectual Disabilities · NPI 1124144928
- Tavares Pediatric CenterIntermediate Care Facility, Intellectual Disabilities · NPI 1598368235
Frequently Asked Questions
What is the NPI number of The Tavares Pediatric Center INC?
The NPI number of The Tavares Pediatric Center INC is 1366442899. It was assigned on July 27, 2005 and is currently active in the NPPES registry.
What is the specialty of The Tavares Pediatric Center INC?
The Tavares Pediatric Center INC is registered under the primary taxonomy Intermediate Care Facility, Intellectual Disabilities (code 315P00000X), licensed in RI under license number RI 642.
Where does The Tavares Pediatric Center INC practice?
The practice location is 101 Plain St, Providence, RI 02903-4824. The office can be reached at 401-272-7127 (phone) or 401-272-4752 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366442899 directly on the NPPES registry website.