Healthcare Provider Details

I. General information

NPI: 1023305356
Provider Name (Legal Business Name): THE COVE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 11/20/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 MANTON AVE 2ND FLOOR, FINANCE OFFICES
PROVIDENCE RI
02909-5633
US

IV. Provider business mailing address

610 MANTON AVE 2ND FLOOR, FINANCE OFFICES
PROVIDENCE RI
02909-5633
US

V. Phone/Fax

Practice location:
  • Phone: 401-274-6310
  • Fax: 401-421-1077
Mailing address:
  • Phone: 401-274-6310
  • Fax: 401-421-1077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: GRACE TOE
Title or Position: CFO
Credential:
Phone: 401-274-6310