Organization Active NPI

Hosa Health and Wellness Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woonsocket, RI
National Provider Identifier
1326721317
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOSA HEALTH AND WELLNESS CENTER LLC
Practice address
867 Park Ave
Woonsocket, RI 02895-5872
Phone
(401) 633-2577
NPI assigned
Aug 8, 2023
Last updated
Aug 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marian E IdahosaNPI 1962973164
Title
Owner NP
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

867 Park Ave
Woonsocket, RI 02895-5872

Mailing address

867 Park Ave
Woonsocket, RI 02895-5872
Phone (401) 633-2577

National Provider Directory

National Provider Directory
Tax ID family
Hosa Health and Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1326721317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 PARK AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028955872",
            "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": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-06",
        "status": "A",
        "authorized_official_last_name": "IDAHOSA",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER NP",
        "authorized_official_telephone_number": "401-633-2577"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.