Center of Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

130029 Issued in OH

Legal business name

CENTER OF WELLNESS, LLC

Practice address

1095 Nimitzview Dr
Suite 101
Cincinnati, OH 45230-4392

Phone

(513) 370-4226

Fax

(513) 672-2293

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael Henderson

Title

Ceo

Phone

(513) 370-4226

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1093241069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 NIMITZVIEW DR",
            "address_2": "SUITE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304392",
            "telephone_number": "513-370-4226",
            "fax_number": "513-672-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 NIMITZVIEW DR",
            "address_2": "SUITE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304392",
            "telephone_number": "513-370-4226",
            "fax_number": "513-672-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-370-4226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "130029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351061201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.