UNIQUE DIVERSITY INNOVATION LLC NPI 1376430470

NPI Information

NPI: 1376430470
Provider Name: UNIQUE DIVERSITY INNOVATION LLC
Classification: Clinic/Center - 261QC1500X
Specialization: Community Health
Entity Type: Organization
Address: 715 BRANCH AVE
PROVIDENCE, RI
ZIP 02904
Phone: (508) 345-4151

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NPI Details

UNIQUE DIVERSITY INNOVATION LLC is a community health clinic center in Providence, RI. UNIQUE DIVERSITY INNOVATION LLC NPI is 1376430470. The provider is registered as an organization entity type.

The provider's business location address is:

715 BRANCH AVE
PROVIDENCE, RI
ZIP 02904-248
Phone: (508) 345-4151

The provider's authorized official is Shanee S Vega .
The authorized official title is Ceo and has the following contact phone number (508) 345-4151.

The enumeration date for this NPI number is 6/20/2025 and was last updated on 6/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SH23373	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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