Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Tavares Pediatric Center Inc

Organization Skilled Nursing Facility · NPI 1366442899

The Tavares Pediatric Center Inc is a Skilled Nursing Facility in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2005.

Licensed in
RI
In the registry since
2005
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Plain St
Providence, RI 02903-4824
Phone: (401) 272-7127
Fax: (401) 272-4752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence RI 642 (RI)
Skilled Nursing Facility Taxonomy 314000000X · Licence RI 642 (RI)

Record details

NPI number1366442899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eugene Tavares — Administrator · (401) 272-7127
NPI enumeratedJuly 27, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address101 Plain St, Providence, RI 02903-4824

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