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CODAC HEALTHCARE, LLC
NPI 1447944111
Clinic/Center - Multi-Specialty in Providence, RI

Active since June 06, 2023
349 HUNTINGTON AVE, PROVIDENCE, RI 02909(401) 942-1450(401) 946-1550 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Codac Healthcare, Llc NPPES

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

CODAC HEALTHCARE, LLC (NPI 1447944111) is a healthcare organization registered as a multi-specialty in Providence, Rhode Island and active in the NPI registry since June 2023. The organization lists Alisha Bourdeau, Cfo, as its authorized official.

NPPES Registry Identity

NPI1447944111
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCODAC HEALTHCARE, LLC
Location Address349 HUNTINGTON AVEProvidence, RI 02909-3005
Mailing Address1052 Park AveCranston, RI 02910-3225 · (401) 275-5038 · Fax (401) 942-3590
Phone(401) 942-1450
Fax(401) 946-1550
Organization SubpartNo
Authorized OfficialAlisha BourdeauCfo · (401) 275-5038
Enumeration DateJune 6, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1447944111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
349 HUNTINGTON AVE, Providence, RI 02909
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Other Providers at the Same Location NPPES 8

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

SHARON ANN TATALO MS
Counselor (Addiction (Substance Use Disorder))
349 HUNTINGTON AVE
PROVIDENCE, RI 02909
Providence County (401) 942-1450
JESSICA KEEFE APRN
Nurse Practitioner (Family)
349 HUNTINGTON AVE
PROVIDENCE, RI 02909
Providence County (401) 942-1450
CODAC INC
Clinic/Center (Methadone)
349 HUNTINGTON AVE, CODAC PROVIDENCE
PROVIDENCE, RI 02909
Providence County (401) 942-1450
MR. PETER J MURPHY JR. LCDP, LMHC
Counselor (Mental Health)
349 HUNTINGTON AVE
PROVIDENCE, RI 02909
Providence County (401) 942-1450
RAYMOND ANTHONY LORRAINE ADS, CADC, LCDP, TTS
Counselor (Addiction (Substance Use Disorder))
349 HUNTINGTON AVE
PROVIDENCE, RI 02909
Providence County (401) 942-1450
JOHN BURNS
Counselor (Addiction (Substance Use Disorder))
349 HUNTINGTON AVE
PROVIDENCE, RI 02909
Providence County (401) 942-1450
NATASHA AMARAL CADAC, LCDP
Counselor (Addiction (Substance Use Disorder))
349 HUNTINGTON AVE
PROVIDENCE, RI 02909
Providence County (401) 942-1450
MR. ORRIE BRAUER LCDP
Counselor (Addiction (Substance Use Disorder))
349 HUNTINGTON AVE
PROVIDENCE, RI 02909
Providence County (401) 942-1450

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 Healthcare, LLC's NPI number?

The NPI number for Codac Healthcare, LLC is 1447944111. It was assigned to this organization in the NPPES registry on June 6, 2023.

Where is Codac Healthcare, LLC located?

Codac Healthcare, LLC is located at 349 Huntington Ave, Providence, RI 02909. The listed phone number is (401) 942-1450.

What is Codac Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Codac Healthcare, LLC was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.