CODAC INC
NPI 1164923553
Public Health or Welfare in Cranston, RI

Q: What is Codac Inc's NPI number?

The NPI number for Codac Inc is 1164923553. It was assigned to this organization in the NPPES registry on February 22, 2018.

Q: What is Codac Inc's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Q: When was this NPI record last updated?

The NPPES record for Codac Inc was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2018

3 REGAN CT, CRANSTON, RI 02920(401) 462-3530(401) 462-3529 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2019, Feb 22, 2018 (2 updates tracked since 2018).

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About Codac Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODAC INC (NPI 1164923553) is a healthcare organization registered as a public health or welfare in Cranston, Rhode Island and active in the NPI registry since February 2018. The organization lists Alisha M Bourdeau, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164923553

Entity TypeOrganization

Primary Taxonomy251K00000X

Legal Business NameCODAC INC

Location Address3 REGAN CTCranston, RI 02920

Mailing Address1052 Park AveCranston, RI 02910-3225 · (401) 275-5038 · Fax (401) 942-3590

Phone(401) 462-3530

Fax(401) 462-3529

Organization SubpartNo

Authorized OfficialAlisha M BourdeauCfo · (401) 275-5038

Enumeration DateFebruary 22, 2018

Last NPPES UpdateApril 25, 20192 updates tracked since enumeration

✔ NPI 1164923553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPublic Health or WelfareAgencies

Taxonomy Code251K00000X

License✔ Licensed in RI · 605.08

Also ListedPeer SpecialistTaxonomy 175T00000X

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X · License 605.08 (RI)

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 605.08 (RI)

3 REGAN CT, Cranston, RI 02920

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Other Identifiers 1

MedicaidCO71983RI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Codac Inc's NPI number?

The NPI number for Codac Inc is 1164923553. It was assigned to this organization in the NPPES registry on February 22, 2018.

Where is Codac Inc located?

Codac Inc is located at 3 Regan Ct, Cranston, RI 02920. The listed phone number is (401) 462-3530.

What is Codac Inc's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for Codac Inc was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.