=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831196955
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASSISTED DAILY LIVING, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/05/2005
-----------------------------------------------------
Last Update Date | 09/25/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2809 POST RD
-----------------------------------------------------
City | WARWICK
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02886-3114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-738-5470
-----------------------------------------------------
Fax | 401-738-5490
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2809 POST RD
-----------------------------------------------------
City | WARWICK
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02886-3114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-738-5470
-----------------------------------------------------
Fax | 401-738-5490
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COMPLIANCE & PRIVACY OFFICER
-----------------------------------------------------
Name | KATIE MONASTIERE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 517-768-4373
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HNC02116
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------