The Tavares Pediatric Center Inc
NPI 1366442899ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Providence, RI
Intermediate Care Facility, Intellectual Disabilities in Providence, Rhode Island, registered in NPPES in July 2005. The authorized official on file is Eugene F. Tavares, LICENSED, Administrator.
Overview
| NPI | 1366442899 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2005 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | RI 642 | RI |
| Skilled Nursing Facility | 314000000X | RI 642 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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