Provider Demographics
NPI:1831196955
Name:ASSISTED DAILY LIVING, INC
Entity type:Organization
Organization Name:ASSISTED DAILY LIVING, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE & PRIVACY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONASTIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-768-4373
Mailing Address - Street 1:2809 POST RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-3114
Mailing Address - Country:US
Mailing Address - Phone:401-738-5470
Mailing Address - Fax:401-738-5490
Practice Address - Street 1:2809 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-3114
Practice Address - Country:US
Practice Address - Phone:401-738-5470
Practice Address - Fax:401-738-5490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHNC02116251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI60-00101OtherUNITEDHEALTHCARE OF NE
RI4107035Medicaid
RIAD01663OtherEDS WAIVER
RIAD02558OtherEDS WAIVER
RI004019OtherRI BLUECHIP MEDICARE
RI5841-2OtherRI BLUE CROSS
RI60-00101OtherUNITEDHEALTHCARE OF NE
RI=========OtherNEIGHBORHOOD HEALTH PLAN