Provider Demographics
NPI:1255176491
Name:HOPE AND WELLNESS CARE CENTERS AT BAHRA'S COMPLEXES LLC
Entity type:Organization
Organization Name:HOPE AND WELLNESS CARE CENTERS AT BAHRA'S COMPLEXES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:YOUSSEF
Authorized Official - Last Name:BAHRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-864-6494
Mailing Address - Street 1:321 PLAINFIELD ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02909-3703
Mailing Address - Country:US
Mailing Address - Phone:401-864-6494
Mailing Address - Fax:
Practice Address - Street 1:1910 WESTMINSTER ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909-2802
Practice Address - Country:US
Practice Address - Phone:401-864-6494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-28
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251K00000XAgenciesPublic Health or Welfare
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty