NPI 1366442899

The Tavares Pediatric Center INC

Organisation Intellectual Disabilities Intermediate Care Facility Providence, RI

Practice location

Address: 101 Plain St, Providence, RI 02903-4824
Phone: (401) 272-7127
Fax: (401) 272-4752

Authorised official

Name: Eugene F Tavares
Title: Administrator
Phone: (401) 272-7127

Registered specialties (2)

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence RI 642 (RI)

Other Intermediate Care Facility, Intellectual Disabilities providers in Rhode Island →

Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence RI 642 (RI)

Other Skilled Nursing Facility providers in Rhode Island →

Registry record

NPI: 1366442899
Entity type: Organization
NPI issued: 27 Jul 2005
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.