Organization Active NPI

Ground Luminosity Eastern Wellness Center

  • Specialist
  • North Wales, PA
National Provider Identifier
1063956183
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MSG006874 Issued in PA
Legal business name
GROUND LUMINOSITY EASTERN WELLNESS CENTER
Practice address
1501 Lower State Rd
BLDG D Suite 306
North Wales, PA 19454-1216
Phone
(215) 301-3607
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Mrs. Curran LatchfordNPI 1659618882
Title
Owner
Phone
(215) 301-3607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MSG006874 PA Primary

Addresses

Primary practice location

1501 Lower State Rd
BLDG D Suite 306
North Wales, PA 19454-1216

Mailing address

1501 Lower State Rd
BLDG D Suite 306
North Wales, PA 19454-1216
Phone (215) 301-3607

National Provider Directory

National Provider Directory

Locations

1501 Lower State Rd
Ste 306
North Wales, PA 19454
Phone (215) 301-3607

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1063956183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD",
            "address_2": "BLDG D SUITE 306",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541216",
            "telephone_number": "215-301-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD",
            "address_2": "BLDG D SUITE 306",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541216",
            "telephone_number": "215-301-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUND LUMINOSITY EASTERN WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "LATCHFORD",
        "authorized_official_first_name": "CURRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-301-3607",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MSG006874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.