Codac Inc
NPI 1295731321 · Methadone Clinic · Cranston, RI
Enrolled with Medicare as Part B Supplier - Opioid Treatment Program (otp) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Codac Inc is a Methadone Clinic organization in Cranston, RI (NPI 1295731321).
Provider details
- NPI number
- 1295731321
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alisha Bourdeau, Cfo(401) 275-5038
- License
- 605.01 (RI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Hospital Units
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Peer Specialist175T00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Codac Cranston
- Doing business as
- Codac Cranston
Registry dates
- Enumerated
- 2005-06-23
- Last updated
- 2021-12-21
- Certified
- 2021-12-21
Frequently asked questions
- What is Codac Inc's NPI number?
- Codac Inc's National Provider Identifier (NPI) is 1295731321, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Codac Inc?
- Codac Inc is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Codac Inc located?
- Codac Inc's practice location on file with NPPES is 1052 Park Ave, Cranston, RI 02910.
- What is Codac Inc's phone number?
- The practice phone number listed in the NPPES registry for Codac Inc is (401) 461-5056.
- Does Codac Inc accept Medicare?
- Codac Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Codac Inc?
- The authorized official listed on Codac Inc's NPPES record is Alisha Bourdeau, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Codac Inc's NPI active?
- Yes — Codac Inc's NPI (1295731321) is active in the NPPES registry as of the last update on 2021-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.