Active NPI
Hosa Health and Wellness Center LLC
- Family Nurse Practitioner
- Woonsocket, RI
National Provider Identifier
1154087492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HOSA HEALTH AND WELLNESS CENTER LLC
- Practice address
- 867 Park Ave
Woonsocket, RI 02895-5872 - Phone
- (401) 633-2577
- NPI assigned
- Nov 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marian E Idahosa
- Title
- Owner
- Phone
- (401) 633-2577
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
867 Park Ave
Woonsocket, RI 02895-5872
Mailing address
161 Hamilton St
Woonsocket, RI 02895-5968
Phone (401) 633-2577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Hosa Health and Wellness Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Woonsocket, RI
- NPI 1326721317
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Woonsocket, RI
- NPI 1962973164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687132800000",
"number": "1154087492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 HAMILTON ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028955968",
"telephone_number": "401-633-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 PARK AVE",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028955872",
"telephone_number": "401-633-2577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSA HEALTH AND WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-10",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A",
"authorized_official_last_name": "IDAHOSA",
"authorized_official_first_name": "MARIAN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-633-2577",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.