Organization Active NPI

Hopeway Wellness LLC

Doing business as HopeWay Wellness

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
National Provider Identifier
1417470774
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HOPEWAY WELLNESS LLC
Doing business as
HopeWay Wellness
Practice address
1717 Sharon Road West
Charlotte, NC 28210
Phone
(980) 859-2106
NPI assigned
Jul 19, 2017
Organization subpart
Yes
Parent organization
HOPEWAY FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Dr. Alyson R. Kuroski-Mazzei, DO, MRO, FAPA
Title
Ceo / Cmo
Phone
(809) 859-2106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1717 Sharon Road West
Charlotte, NC 28210

Mailing address

1717 Sharon Road West
Charlotte, NC 28210
Phone (980) 859-2106

Other names 1

  • HopeWay Wellness Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2148015Hopeway Wellness, LLC1717 Sharon Road West, Charlotte, NC 28210Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hopeway Wellness3 organizations share this tax ID, including this one
Part of
Hopeway Foundation

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1417470774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHARON ROAD WEST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "980-859-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHARON ROAD WEST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "980-859-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWAY WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPEWAY FOUNDATION",
        "enumeration_date": "2017-07-19",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "KUROSKI-MAZZEI",
        "authorized_official_first_name": "ALYSON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO / CMO",
        "authorized_official_telephone_number": "809-859-2106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, MRO, FAPA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HopeWay Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.