LATIN ADULT DAY HEALTH CARE CENTER: HOME CARE SERVICES, LLC (NPI# 1720575426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720575426 |
| Entity Type | Organization |
| Organization Name | LATIN ADULT DAY HEALTH CARE CENTER: HOME CARE SERVICES, LLC |
| Practice Address |
665 Charles Street Providence RI 02904 |
| Practice Telephone | 4012888672 |
| Practice Fax Number | 4016030912 |
| Mailing Telephone | 4012888672 |
| Mailing Fax Number | 4016030912 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | MARIO MANCEBO (OWNER) |
| Authorized Official Telephone | 4012888672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | HCP02470 | RI | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 1013308188 | 05 |
| Street Address |
665 CHARLES STREET |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| 1114243599 | Occupational Health Services of The Southwest Pa | Clinic/Center | 290 Branch Ave, Providence, RI 02904 | 2010-04-11 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053807743 | Home Care Networks, LLC | Homemaker | 30 Amory St, Providence, RI 02904-1503 | 2018-07-05 |
| 1336527035 | Quatia Osorio | Homemaker | 60 Chatham St, Providence, RI 02904-2510 | 2015-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306947833 | Cowesett Home Care Inc | Homemaker | 2181 Post Rd, Warwick, RI 02886 | 2006-09-26 |
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on LATIN ADULT DAY HEALTH CARE CENTER: HOME CARE SERVICES, LLC.
| 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.