Active NPI
Heros Health and Wellness Center
- General Practice Physician
National Provider Identifier
1447094602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 2024
- 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
- Mr. Nathan Poinsette
- Title
- Owner
- Phone
- (773) 902-8507
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1295511756
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.