Active NPI
Ground Luminosity Eastern Wellness Center
- Specialist
- North Wales, PA
National Provider Identifier
1063956183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MSG006874
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Curran Latchford
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.
-
- Massage Therapist
- North Wales, PA
- NPI 1659618882
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.