Healthcare Provider Details

I. General information

NPI: 1699960567
Provider Name (Legal Business Name): HEALTHY BABIES, HAPPY MOMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2007
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: 401-884-5541
Mailing address:
  • Phone: 401-884-8273
  • Fax: 401-884-5541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberRN37240
License Number StateRI

VIII. Authorized Official

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