Rejuven8 Massage, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

18560 Issued in OR

Legal business name

REJUVEN8 MASSAGE, LLC

Practice address

388 State St. NE # B60
Salem, OR 97301-3866

Phone

(503) 568-2854

NPI assigned

Jul 2, 2014

Last updated

Sep 2, 2016By 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

Blake DunhamNPI 1205415502

Title

Owner/Member

Phone

(503) 568-2854

Specialties & licenses 1

Addresses

Tax ID family

Rejuven8 Massage and Float Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rejuven8 Massage and Float Therapy, LLC

  • Health Maintenance Organization
  • Salem, OR
  • NPI 1306394796
  NPD tax ID

Locations

Practitioners 1

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.

• Blake Dunham

  • Massage Therapist
  • Salem, OR
  • NPI 1205415502
  Authorized official Same address or phone

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1093121709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 LIBERTY ST NE # B60",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013503",
            "telephone_number": "971-273-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 STATE ST. NE # B60",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013866",
            "telephone_number": "503-568-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVEN8 MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "503-568-2854"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "18560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Noel Reinhardt, LMT
• Kathryn Jean Reinhart
• Claudia Reischke
• Sean A. Reisig, DDS
• Rejuven8 Massage and Float Therapy, LLC
• Rejuvenation Therapy Pain Clinic, LLP
• Reliable Care LLC
• Reliable Mobile Labs, Inc.
• Virginia Eileen Remillard, RN
• Kaegan L Remington

• Health Maintenance Organization in Salem, OR
• Providers in Salem, OR by specialty
• Health Maintenance Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.