Organization Active NPI

Wellness Company Inc

  • Corporate Health Clinic/Center
  • Providence, RI
National Provider Identifier
1710933072
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
Legal business name
WELLNESS COMPANY INC
Practice address
132A George M Cohan Blvd
Providence, RI 02903-4410
Phone
(401) 461-0662
Fax
(401) 461-3825
NPI assigned
May 26, 2006
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Richard William Radebach Jr.
Title
President
Phone
(401) 461-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X Primary

Addresses

Primary practice location

132A George M Cohan Blvd
Providence, RI 02903-4410

Mailing address

132A George M Cohan Blvd
Providence, RI 02903-4410
Phone (401) 461-0662

Other identifiers 2

IdentifierTypeStateIssuer
23999OtherRIBLUE CROSS/BLUE SHIELD RI
409982OtherRIBLUE CHIP OF RI

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
41D0981156Wellness Company,the132 George Cohan Blvd, Providence, RI 02903Certificate of waiverDec 18, 2026

National Provider Directory

National Provider Directory

Locations

132A George M Cohan Blvd
Providence, RI 02903
Phone (401) 270-4480

36 Blundell St
Providence, RI 02905

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1710933072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132A GEORGE M COHAN BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034410",
            "telephone_number": "401-461-0662",
            "fax_number": "401-461-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132A GEORGE M COHAN BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034410",
            "telephone_number": "401-461-0662",
            "fax_number": "401-461-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "RADEBACH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-461-0662",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD RI",
            "identifier": "23999",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RI",
            "identifier": "409982",
            "state": "RI"
        }
    ],
    "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 Aug 11, 2026; 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.