Innovative Wellness Centers LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

INNOVATIVE WELLNESS CENTERS LLC

Practice address

7100 N High Street
Suite 201
Worthington, OH 43085-2316

Phone

(614) 601-6272

Fax

(614) 601-6291

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Peg Dunteman

Title

Credentialing

Phone

(630) 770-3800

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1194446237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 N HIGH STREET",
            "address_2": "SUITE 201",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852316",
            "telephone_number": "614-601-6272",
            "fax_number": "614-601-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 N HIGH STREET",
            "address_2": "SUITE 201",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852316",
            "telephone_number": "614-601-6272",
            "fax_number": "614-601-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE WELLNESS CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "DUNTEMAN",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "630-770-3800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illumine Counseling
• Martha Imbeah
• Thomas Imler
• Innovative Medical Centers, LLC
• Innovative Opportunities, Inc.
• Innovative Wellness LLC
• Interim Healthcare Hospice of Ohio, Inc.
• Interim Healthcare of Columbus, Inc
• Interim Healthcare Palliative Care of the Midwest, Inc
• Janie Iovino, MOT, OTR/L

• Multi-Specialty Clinic/Center in Worthington, OH
• Providers in Worthington, OH by specialty
• Multi-Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.