Vita Nova LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Providence, Rhode Island
1376938654- Practice location
- 66 Pavilion Ave, Providence, RI 02905-1522
- Phone
- 401-780-2300
- Fax
- —
- Last updated
- April 2, 2015
Vita Nova LLC is a healthcare organization based in Providence, RI. Vita Nova LLC practices in Providence, RI. The NPI Number for Vita Nova LLC is 1376938654 and holds a License No. LIC 12-14-15588 (UT). The current practice location address for Vita Nova LLC is 66 Pavilion Ave, Providence, RI 02905-1522 and can be reached out via phone at 401-780-2300.
Provider Profile Details
- NPI Number
- 1376938654
- Provider Name
- Vita Nova LLC
- Provider Entity Type
- Organization
- Address
- 66 Pavilion Ave, Providence, RI 02905-1522
- Phone Number
- 401-780-2300
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- Yes
- Parent Organization
- Discovery House Group INC
- Authorized Official
- Mr. Peter Morris · Chief Financial & Operating Officer · 401-780-2300
- Provider Enumeration Date
- April 2, 2015
- Last Update Date
- April 2, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 Pavilion Ave
Providence, RI 02905-1522 - City
- Providence
- State
- Rhode Island
- Zip
- 02905-1522
- Phone Number
- 401-780-2300
Provider Business Mailing Address Details
- Address
- 66 Pavilion Ave
Providence, RI 02905-1522 - City
- Providence
- State
- RI
- Zip
- 02905-1522
License Information
- License Number
- LIC 12-14-15588
- License State
- UT
- Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Vita Nova LLC?
The NPI number of Vita Nova LLC is 1376938654. It was assigned on April 2, 2015 and is currently active in the NPPES registry.
What is the specialty of Vita Nova LLC?
Vita Nova LLC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X), licensed in UT under license number LIC 12-14-15588.
Where does Vita Nova LLC practice?
The practice location is 66 Pavilion Ave, Providence, RI 02905-1522. The office can be reached at 401-780-2300 (phone).
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 1376938654 directly on the NPPES registry website.