TAVARES PEDIATRIC CENTER
NPI 1598368235
Intermediate Care Facility, Intellectual Disabilities in Providence, RI
- Organization
- Intermediate Care Facility, Intellectual...
- CLIA Number: 41D0681977
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About TAVARES PEDIATRIC CENTER
This page provides the complete NPI Profile along with additional information for Tavares Pediatric Center, a provider established in Providence, Rhode Island operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1598368235 assigned on November 2020. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Tavares Pediatric Center. The authorized official of this NPI record is Vivian M Tavares (Fin Adm)
- NPI
- 1598368235 Verify this NPI
- Provider Legal Name
- TAVARES PEDIATRIC CENTER
- Other Organization Name
- TAVARES PEDIATRIC CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 101 PLAIN ST PROVIDENCE, RI 02903
- Location Phone
- (401) 272-7127
- Location Fax
- (401) 272-4752
- Mailing Address
- 101 PLAIN ST PROVIDENCE, RI 02903
- Mailing Phone
- (401) 272-7127
- Mailing Fax
- (401) 272-4752
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-17-2020
- Last Update Date
- 11-17-2020
- 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
Intermediate Care Facility, Intellectual Disabilities
- Taxonomy Code
- 315P00000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- An intermediate care facility providing services for individuals with intellectual disabilities.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 41D0681977
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- ERICA JEWELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tavares Pediatric Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for TAVARES PEDIATRIC CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598368235, enumerated as an "organization" on November 17, 2020.
The provider is located at 101 PLAIN ST PROVIDENCE, RI 02903 and the phone number is (401) 272-7127.
Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
