TAYLOR HEALTH ENTERPRISES, LLC
NPI 1164040069
Nurse Practitioner - Primary Care in Pawtucket, RI

Active since July 08, 2020
460 SMITHFIELD AVE, PAWTUCKET, RI 02860(401) 305-0080(866) 655-0696 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2024, Sep 3, 2023, Jun 12, 2023 and 4 more (7 updates tracked since 2020).

About Taylor Health Enterprises, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR HEALTH ENTERPRISES, LLC (NPI 1164040069), doing business as Lotus Noire Health, is a healthcare organization registered as a primary care in Pawtucket, Rhode Island and active in the NPI registry since July 2020. The organization lists Temperance Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1164040069
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameTAYLOR HEALTH ENTERPRISES, LLC
Location Address460 SMITHFIELD AVEPawtucket, RI 02860-2576
Mailing Address460 Smithfield AvePawtucket, RI 02860-2576 · (401) 305-0080 · Fax (401) 574-2033
Fax(866) 655-0696
Organization SubpartNo
Authorized OfficialTemperance TaylorOwner · (401) 305-0080
Enumeration DateJuly 8, 2020
Last NPPES UpdateOctober 24, 20257 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1164040069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
460 SMITHFIELD AVE, Pawtucket, RI 02860

Other Names 1

Doing Business AsLotus Noire Health

Other Identifiers 1

Medicaid1164040069RI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Health Enterprises, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Taylor Health Enterprises, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1861056608
460 SMITHFIELD AVE
Pawtucket, RI 02860
(401) 305-0080
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2192545

Taylor Health Enterprises Dba Lotus Noire Health · Pawtucket, RI
Expired · Sep 10, 2026
CLIA Number41D2192545
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorTemperance Taylor
Laboratory Phone(401) 484-0428
Laboratory LocationTaylor Health Enterprises Dba Lotus Noire Health460 Smithfield Ave, Pawtucket, RI 02860
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Health Enterprises, LLC's NPI number?

The NPI number for Taylor Health Enterprises, LLC is 1164040069. It was assigned to this organization in the NPPES registry on July 8, 2020. The provider is doing business as Lotus Noire Health.

Where is Taylor Health Enterprises, LLC located?

Taylor Health Enterprises, LLC is located at 460 Smithfield Ave, Pawtucket, RI 02860. The listed phone number is (401) 305-0080.

What is Taylor Health Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Taylor Health Enterprises, LLC enrolled in Medicare?

Yes. Taylor Health Enterprises, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Taylor Health Enterprises, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Taylor Health Enterprises, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Taylor Health Enterprises, LLC was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.