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CODAC INC
NPI 1639755630
Clinic/Center - Rehabilitation, Substance Use Disorder in Warwick, RI

Active since March 20, 2021
50 HEALTH LN, WARWICK, RI 02886(401) 384-7300(401) 384-7483 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Dec 21, 2021, Mar 20, 2021 (3 updates tracked since 2021).

About Codac Inc NPPES

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

CODAC INC (NPI 1639755630) is a healthcare organization registered as a rehabilitation, substance use disorder in Warwick, Rhode Island and active in the NPI registry since March 2021. The organization lists Alisha M Bourdeau, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639755630
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCODAC INC
Location Address50 HEALTH LNWarwick, RI 02886-2711
Mailing Address1052 Park AveCranston, RI 02910-3225 · (401) 275-5038 · Fax (401) 942-3590
Phone(401) 384-7300
Fax(401) 384-7483
Organization SubpartNo
Authorized OfficialAlisha M BourdeauCfo · (401) 275-5038
Enumeration DateMarch 20, 2021
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1639755630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
50 HEALTH LN, Warwick, RI 02886
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Other Identifiers 1

MedicaidCO71983RI

Other Providers at the Same Location NPPES 20

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

CAROLYN A DIDONATO MA, QMHP
Counselor (Mental Health)
50 HEALTH LN
WARWICK, RI 02886
Kent County (401) 732-5656
CAROL W. GIORDANO LICSW
Social Worker (Clinical)
50 HEALTH LN
WARWICK, RI 02886
Kent County (401) 738-4300
RORY DANGELO LCSW
Counselor (Addiction (Substance Use Disorder))
50 HEALTH LN
WARWICK, RI 02886
Kent County (401) 732-5656
MRS. CATHERINE GRACE CALISE LICSW
Social Worker (Clinical)
50 HEALTH LN
WARWICK, RI 02886
Kent County (401) 732-5656
MR. RONALD P ABRAMS LICSW
Social Worker (Clinical)
50 HEALTH LN
WARWICK, RI 02886
Kent County (401) 738-4300
MS. JAMIE LYNN BANES BA,LCDP
Counselor (Addiction (Substance Use Disorder))
50 HEALTH LN
WARWICK, RI 02886
Kent County (401) 732-5656
KELLY ANN MCDERMOTT LMFTA
Marriage & Family Therapist
50 HEALTH LN
WARWICK, RI 02886
Kent County (401) 732-5656
MARY CHOI LCSW
Social Worker (Clinical)
50 HEALTH LN
WARWICK, RI 02886
Kent County (401) 732-5656

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 1639755630. It was assigned to this organization in the NPPES registry on March 20, 2021.

Where is Codac Inc located?

Codac Inc is located at 50 Health Ln, Warwick, RI 02886. The listed phone number is (401) 384-7300.

What is Codac Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Codac Inc was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.