CODAC INC
NPI 1467988683
Clinic/Center - Rehabilitation, Substance Use Disorder in Cranston, RI
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About CODAC INC
This page provides the complete NPI Profile along with additional information for Codac Inc, a provider established in Cranston, Rhode Island operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1467988683 assigned on May 2017. The practitioner's primary taxonomy code is 261QR0405X with license number ACF01632 (RI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Alisha M Bourdeau (Cfo)
- NPI
- 1467988683 Verify this NPI
- Provider Name
- CODAC INC
- Entity Type
- Organization
- Location Address
- 1052 PARK AVE CRANSTON, RI 02910
- Location Phone
- (401) 275-5038
- Location Fax
- (401) 942-3590
- Mailing Address
- 1052 PARK AVE CRANSTON, RI 02910
- Mailing Phone
- (401) 275-5038
- Mailing Fax
- (401) 942-3590
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2017
- Last Update Date
- 12-21-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- ACF01632
- License State
- RI
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 175T00000X | Other Service Providers | Peer Specialist | |
| 2 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | ACF01632 (RI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CI01382 | MEDICAID (05) | RI |
Reviews for CODAC INC
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CRANSTON, RI 02910
CRANSTON, RI 02910
CRANSTON, RI 02910
CRANSTON, RI 02910
CRANSTON, RI 02910
CRANSTON, RI 02910
CRANSTON, RI 02910
CRANSTON, RI 02910
CRANSTON, RI 02910
CRANSTON, RI 02910
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467988683, enumerated as an "organization" on May 08, 2017.
The provider is located at 1052 PARK AVE CRANSTON, RI 02910 and the phone number is (401) 275-5038.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
