Elite Retreat Massage LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ELITE RETREAT MASSAGE LLC

Practice address

2100 E Main St
Lancaster, OH 43130-9351

Phone

(740) 277-6933

NPI assigned

Aug 2, 2022

Last updated

Aug 2, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christina June Olive, CNP

Title

Owner

Phone

(740) 215-6062

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheyenne Grace McCall, LMT

  • Massage Therapist
  • Lancaster, OH
  • NPI 1447907779
  NPD
• Sumer Marie Newberry

  • Massage Therapist
  • Lancaster, OH
  • NPI 1205668944
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1013644806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 STONEWALL CEMETERY RD SW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309784",
            "telephone_number": "740-215-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309351",
            "telephone_number": "740-277-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE RETREAT MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "OLIVE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-215-6062",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Paul Egbert, LISW-S
• Margaret De Chant Eggen, PTA
• Gloria Ejekwu, CNP
• Elite Ambulance, LLC
• Elite Healthcare Transportation, LLC
• Elite1 Ambulance, LLC
• Caitlin Paige Eller, QMHS BA CM BA
• Ijada Eve Ellis, LPN
• Shelby Elswick
• Madisen Paige Ely, DDS

• Health Service Clinic/Center in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.