VITA NOVA LLC (NPI# 1376938654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376938654 |
| Entity Type | Organization |
| Organization Name | VITA NOVA LLC |
| Practice Address |
66 Pavilion Ave Providence RI 02905-1522 |
| Practice Telephone | 4017802300 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |
| Authorized Official Name | MR. PETER MORRIS (CHIEF FINANCIAL & OPERATING OFFICER) |
| Authorized Official Telephone | 4017802300 |
| Is Organization Subpart | Y |
| Parent Organization Name | DISCOVERY HOUSE GROUP INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
LIC 12-14-15588 | UT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255718094 | Vita Nova LLC | Psychologist | 307 N Michigan Ave Ste 1014, Chicago, IL 60601-5310 | 2015-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Vita Nova LLC | 40 Georges Lane, Monroe, CT 06468 |
| Iowa Business Entities | VITA NOVA LLC | 2639 L Ave., Williamsburg, IA 52361 |
| Oregon Corporations, Companies and Business Names | VITA NOVA LLC | 3930 High St, Eugene, OR 97405 |
| Alabama Business Registrations | VITA NOVA LLC | 641 South Lawrence Street, Montgomery, AL 36104 |
| Street Address |
66 PAVILION AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521488 | R.i.s.a.t., LLC | Clinic/Center | 66 Pavilion Ave, Providence, RI 02905-1522 | 2005-07-11 |
| 1366065898 | Stephanie Goncalves | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2020-05-19 |
| 1831736974 | Brandi J Mcdonnell | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2019-12-09 |
| 1396382347 | Wandali Perez | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2019-12-09 |
| 1811461403 | Alexander Tobias Jorrin | Physician Assistant | 66 Pavilion Ave, Providence, RI 02905-1522 | 2019-01-16 |
| 1083190086 | Natalia Navarro | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2018-07-13 |
| 1023505732 | Theresa Scibilia | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2018-04-18 |
| 1740702745 | Hannah Marie Park | Counselor | 66 Pavilion Ave, Providence, RI 02905-1522 | 2017-07-11 |
| 1336689637 | Robert Matuszek | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2017-03-06 |
| 1518407816 | Melanie Nelson | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2017-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1861528242 | Family Service of Rhode Island Inc. | Clinic/Center | 55 Hope St, Providence, RI 02906-2001 | 2007-02-27 |
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| 1417955733 | Discovery House Utah | Clinic/Center | 88 W Warwick Ave, West Warwick, RI 02893-3871 | 2005-07-11 |
| 1295731321 | Codac Inc | Clinic/Center | 1052 Park Ave, Codac Cranston, Cranston, RI 02910 | 2005-06-23 |
| 1639638331 | Galilee Mission | Clinic/Center | 23 Arnold St, South Kingstown, RI 02879-3701 | 2019-03-13 |
| 1194292235 | Adcare Rhode Island | Clinic/Center | 600 Putnam Pike Ste 7, Greenville, RI 02828-1487 | 2018-10-26 |
| 1902373046 | Adcare Rhode Island | Clinic/Center | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2018-10-26 |
| 1114430907 | Comprehensive Addiction Treatment LLC | Clinic/Center | 1950 Tower Hill Rd, N Kingstown, RI 02852-6639 | 2017-11-15 |
| 1023359122 | P and R Recovery Services LLC | Clinic/Center | 11 King Charles Dr, A2, Portsmouth, RI 02871-1446 | 2013-03-14 |
| 1629102579 | Thrive Behavioral Health | Clinic/Center | 50 Health Ln, Warwick, RI 02886-2711 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.