Healthcare Provider Details

I. General information

NPI: 1477740249
Provider Name (Legal Business Name): HEALTHY BABIES, HAPPY MOMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4512 POST RD
EAST GREENWICH RI
02818-4124
US

IV. Provider business mailing address

4512 POST RD
EAST GREENWICH RI
02818-4124
US

V. Phone/Fax

Practice location:
  • Phone: 401-884-8273
  • Fax:
Mailing address:
  • Phone: 401-884-8273
  • Fax: 401-884-5541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateRI

VIII. Authorized Official

Name: MRS. KATHLEEN FAHEY MOREN
Title or Position: OWNER/PRESIDENT
Credential: RN BSN IBCLC
Phone: 401-884-8273