MEDICARE: ANDRADE ADULT DAY CARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1720695661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDRADE ADULT DAY CARE INC.

Provider Business Mailing Address
First Line	:	294 ROBIN HOLLOW RD
Second Line	:
City	:	WEST GREENWICH
State	:	RI
Zip	:	02817-2133
Country	:	US
Telephone Number	:	401-523-4397
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 BALD HILL RD
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-4266
Country	:	US
Telephone Number	:	401-523-4397
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/ ADMINISTRATOR
Name	:	GREGORY S ANDRADE
Credential	:	RN
Telephone Number	:	401-523-4397

Provider Enumeration Date	:	09/24/2020
Last Update Date	:	09/24/2020

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