THE TAVARES PEDIATRIC CENTER INC
NPI 1366442899
Intermediate Care Facility, Intellectual Disabilities in Providence, RI

Q: What is The Tavares Pediatric Center Inc's NPI number?

The NPI number for The Tavares Pediatric Center Inc is 1366442899. It was assigned to this organization in the NPPES registry on July 27, 2005.

Q: What is The Tavares Pediatric Center Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since July 27, 2005

101 PLAIN ST, PROVIDENCE, RI 02903(401) 272-7127(401) 272-4752 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About The Tavares Pediatric Center Inc NPPES

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

THE TAVARES PEDIATRIC CENTER INC (NPI 1366442899) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Providence, Rhode Island and active in the NPI registry since July 2005. The organization lists Eugene F Tavares, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366442899

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameTHE TAVARES PEDIATRIC CENTER INC

Location Address101 PLAIN STProvidence, RI 02903-4824

Mailing Address101 Plain StProvidence, RI 02903-4824 · (401) 272-7127 · Fax (401) 272-4752

Phone(401) 272-7127

Fax(401) 272-4752

Organization SubpartNo

Authorized OfficialEugene F TavaresAdministrator · (401) 272-7127

Enumeration DateJuly 27, 2005

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1366442899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in RI · RI 642

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License RI 642 (RI)

101 PLAIN ST, Providence, RI 02903

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Other Identifiers 1

Medicaid41G085RI

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NINA MONEYMAKER NP

Nurse Practitioner (Women's Health)