# WELLNESS CONNECT GO BEYOND MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WELLNESS CONNECT GO BEYOND MEDICINE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407771298
- **Legal business name:** WELLNESS CONNECT GO BEYOND MEDICINE, LLC
- **Authorized official:** MIRIANNYS RIVAS (ADMINISTRATOR)
- **Authorized official phone:** (401) 306-0888

## Contact information

- **Practice address:** 655 BROAD ST STE 201B, PROVIDENCE, RI 02907-1444
- **Practice address phone:** (401) 306-0888
- **Mailing address:** 655 BROAD ST STE 201B, PROVIDENCE, RI 02907-1444
- **Mailing address phone:** (401) 306-0888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 08/11/2026
- **Last updated:** 08/14/2026