Organization Active NPI

Heros Health and Wellness Center

  • General Practice Physician
National Provider Identifier
1447094602
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HEROS HEALTH AND WELLNESS CENTER
Practice address
C. Guayacanes 66,
Costambar, PUERTO PLATA 57000
DO
Phone
(849) 636-4065
NPI assigned
Jun 22, 2024
Last updated
Jun 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Authorized official

Name
Mr. Nathan Poinsette
Title
Owner
Phone
(773) 902-8507

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU
Physical Therapy Clinic/Center 261QP2000X NU
VA Clinic/Center 261QV0200X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

C. Guayacanes 66,
Costambar, PUERTO PLATA 57000
DO

Mailing address

434 W 75TH St
Chicago, IL 60621-3446
Phone (773) 902-8507

Other names 1

  • Hero's Health and Wellness Veterans Clinic Other name

National Provider Directory

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": "1719014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719014400000",
    "number": "1447094602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213446",
            "telephone_number": "773-902-8507"
        },
        {
            "country_code": "DO",
            "country_name": "Dominican Republic",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "C. GUAYACANES 66,",
            "city": "COSTAMBAR",
            "state": "PUERTO PLATA",
            "postal_code": "57000",
            "telephone_number": "849-636-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROS HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A",
        "authorized_official_last_name": "POINSETTE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-902-8507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hero's Health and Wellness Veterans Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; 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.