OrganizationActive
Codac Inc
NPI 1164923553 · Public Health or Welfare Agency · Cranston, RI
Provider details
- NPI number
- 1164923553
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alisha Bourdeau, Cfo(401) 275-5038
Specialties & taxonomies
Agencies
- Peer Specialist175T00000X
Other Service Providers
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3 Regan Ct
Cranston, RI 02920
Phone: (401) 462-3530
Fax: (401) 462-3529
Street-level locationGet directions
Mailing address
1052 Park Ave
Cranston, RI 02910-3225
Registry dates
- Enumerated
- 2018-02-22
- Last updated
- 2019-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.