Healthcare Provider Details

I. General information

NPI: 1164633038
Provider Name (Legal Business Name): DAY ONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEDWAY ST
PROVIDENCE RI
02906-4402
US

IV. Provider business mailing address

100 MEDWAY ST
PROVIDENCE RI
02906-4402
US

V. Phone/Fax

Practice location:
  • Phone: 401-421-4100
  • Fax: 401-454-5565
Mailing address:
  • Phone: 401-421-4100
  • Fax: 401-454-5565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN HOYOS
Title or Position: FINANCE & BILLING SPECIALIST
Credential:
Phone: 401-421-4100