Taylor Health Enterprises, LLC
Nurse Practitioner, Primary Care in Pawtucket, RI. Organization (NPI-2).
NPI number1164040069
StatusActive
Last updated in NPPESOct 24, 2025
Details
- NPI
- 1164040069
- Entity type
- Organization (NPI-2)
- Legal business name
- Taylor Health Enterprises, LLC
- Organization subpart
- No
- Enumeration date
- Jul 8, 2020
- Certification date
- Oct 24, 2025
- Last updated
- Oct 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 2083B0002X | Preventive Medicine, Obesity Medicine | – | – |
Other names
- Lotus Noire Health (Doing Business As)
Practice location
460 Smithfield AvePawtucket, RI 02860-2576
Phone 401-305-0080 · Fax 866-655-0696
Mailing address
460 Smithfield AvePawtucket, RI 02860-2576
Phone 401-305-0080 · Fax 401-574-2033
Authorized official
Temperance Taylor
Owner
4013050080
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