Individual provider Active NPI

Momoh Bai Fahnbulleh

  • Community Health Worker
  • Providence, RI
National Provider Identifier
1427920065
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
202111 Issued in RI
Practice address
151 Douglas Ave
Providence, RI 02908-3254
Phone
(401) 362-4837
Fax
(401) 274-1701
NPI assigned
Sep 23, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 202111 RI Primary

Addresses

Primary practice location

151 Douglas Ave
Providence, RI 02908-3254

Mailing address

151 Douglas Ave
Providence, RI 02908-3254
Phone (401) 362-4837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202111RIMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saving Hopes Health & Wellness Center LLC Community Health Worker CurrentSince Sep 28, 2025 Accepting new patients

Locations

151 Douglas Ave
Providence, RI 02908
Phone (401) 362-4387

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1427920065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 DOUGLAS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083254",
            "telephone_number": "401-362-4837",
            "fax_number": "401-274-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 DOUGLAS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083254",
            "telephone_number": "401-362-4837",
            "fax_number": "401-274-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHNBULLEH",
        "first_name": "MOMOH",
        "middle_name": "BAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "RI",
            "license": "202111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.