Tavares Pediatric Center
NPI 1598368235ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Providence, RI
Intermediate Care Facility, Intellectual Disabilities in Providence, Rhode Island, registered in NPPES in November 2020. The authorized official on file is Vivian M. Tavares, Fin Adm.
Overview
| NPI | 1598368235 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2020 |
| Last updated in NPPES | Nov 17, 2020 |
| Certified by provider | Nov 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
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 |
|---|
Other Intermediate Care Facility, Intellectual Disabilities providers in Providence
- 1063538502
- 1124144928
- 1245356955
- 1366442899
All Intermediate Care Facility, Intellectual Disabilities providers in Rhode Island