Healthcare Provider Details

I. General information

NPI: 1093648180
Provider Name (Legal Business Name): RAISING HOPE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 DABOLL ST
PROVIDENCE RI
02907-1515
US

IV. Provider business mailing address

109 DABOLL ST
PROVIDENCE RI
02907-1515
US

V. Phone/Fax

Practice location:
  • Phone: 401-461-7878
  • Fax: 401-461-7879
Mailing address:
  • Phone: 401-461-7878
  • Fax: 401-461-7879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: ISAAC OSAMEDE OGBOMO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 401-461-7878