Healthcare Provider Details

I. General information

NPI: 1760158745
Provider Name (Legal Business Name): HYGIEA HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 08/19/2021
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 ROCKY LN
GREENFIELD NH
03047-4835
US

IV. Provider business mailing address

46 ROCKY LN
GREENFIELD NH
03047-4835
US

V. Phone/Fax

Practice location:
  • Phone: 603-233-7776
  • Fax:
Mailing address:
  • Phone: 406-403-1988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CATHY L SHARPE
Title or Position: OWNER
Credential:
Phone: 603-233-7776