Healthcare Provider Details

I. General information

NPI: 1861307688
Provider Name (Legal Business Name): CAREPATH NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 SOCIAL ST STE 835
WOONSOCKET RI
02895-3240
US

IV. Provider business mailing address

191 SOCIAL ST STE 835
WOONSOCKET RI
02895-3240
US

V. Phone/Fax

Practice location:
  • Phone: 781-458-9049
  • Fax: 781-458-9049
Mailing address:
  • Phone: 781-458-9049
  • Fax: 781-458-9049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH DANA ZIDES
Title or Position: OWNER
Credential: ZIDES
Phone: 781-458-9049