MEDICARE: GOLDEN HOUR WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1013845759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN HOUR WELLNESS LLC

Provider Business Mailing Address
First Line	:	50 ATWOOD AVE
Second Line	:
City	:	PAWTUCKET
State	:	RI
Zip	:	02860-2410
Country	:	US
Telephone Number	:	401-663-1719
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 ATWOOD AVE
Second Line	:
City	:	PAWTUCKET
State	:	RI
Zip	:	02860-2410
Country	:	US
Telephone Number	:	401-663-1719
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NADINE DEPINA TAVARES
Credential	:
Telephone Number	:	401-663-1719

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “GOLDEN HOUR WELLNESS LLC ” Practice Location

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