Sacred Living Center LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SACRED LIVING CENTER LLC

Practice address

684 E Valley View Rd
Ashland, OR 97520-9634

Phone

(707) 834-1276

NPI assigned

Nov 2, 2022

Organization subpart

No

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

Authorized official

Name

Shannon TinderNPI 1013634310

Title

Owner

Phone

(541) 363-7436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sacred Living Center LLC Former legal business name

Electronic endpoints 1

Practitioners 2

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

• Shannon Tinder

  • Massage Therapist
  • Ashland, OR
  • NPI 1013634310
  NPD Authorized official
• Nathan Tinder

  • Massage Therapist
  • Ashland, OR
  • NPI 1841917077
  NPD

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1083321699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 E VALLEY VIEW RD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209634",
            "telephone_number": "707-834-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 E VALLEY VIEW RD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209634",
            "telephone_number": "707-834-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED LIVING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "TINDER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-363-7436"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sacredlivingcenter.com",
            "affiliation": "N",
            "address_1": "684 E Valley View Rd",
            "city": "Ashland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975209634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sacred Living Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Massage Therapist in Ashland, OR
• Providers in Ashland, OR by specialty
• Massage Therapist in Oregon

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