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The Tavares Pediatric Center Inc

Intellectual Disabilities Intermediate Care Facility in Providence, RI · enumerated 2005 · authorized official Eugene Tavares, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366442899

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Registry record

Entity type Organization (Type 2)
Legal business name The Tavares Pediatric Center Inc
Practice address 101 Plain St, Providence, RI, 02903
Fax (401) 272-4752
Enumeration date Jul 27, 2005
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License RI 642 (RI) Secondary
315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License RI 642 (RI) Primary

Authorized official

Name Eugene Tavares
Title Administrator

Other identifiers

Identifier Type State Issuer
41G085 Medicaid RI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.
Where is The Tavares Pediatric Center Inc located?
The practice location on file with NPPES is in Providence, RI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.