Healthcare Provider Details

I. General information

NPI: 1275457632
Provider Name (Legal Business Name): DAVINCI CENTER FOR COMMUNITY PROGRESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 CHARLES ST
PROVIDENCE RI
02904-2237
US

IV. Provider business mailing address

470 CHARLES ST
PROVIDENCE RI
02904-2237
US

V. Phone/Fax

Practice location:
  • Phone: 401-272-7474
  • Fax: 401-272-7960
Mailing address:
  • Phone: 401-272-7474
  • Fax: 401-272-7960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. MAUREEN NATALE
Title or Position: COMMUNITY NURSE
Credential: DNP RN
Phone: 401-327-2289