Healthcare Provider Details

I. General information

NPI: 1831196955
Provider Name (Legal Business Name): ASSISTED DAILY LIVING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2809 POST RD
WARWICK RI
02886-3114
US

IV. Provider business mailing address

2809 POST RD
WARWICK RI
02886-3114
US

V. Phone/Fax

Practice location:
  • Phone: 401-738-5470
  • Fax: 401-738-5490
Mailing address:
  • Phone: 401-738-5470
  • Fax: 401-738-5490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHNC02116
License Number StateRI

VIII. Authorized Official

Name: KATIE MONASTIERE
Title or Position: COMPLIANCE & PRIVACY OFFICER
Credential:
Phone: 517-768-4373