Organization Active NPI

The Wholistic Center for Wellness Inc

  • Internal Medicine Physician
  • Millville, NJ
National Provider Identifier
1194712448
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE WHOLISTIC CENTER FOR WELLNESS INC
Practice address
1014 N High St
Millville, NJ 08332-2527
Phone
(856) 690-0627
Fax
(856) 690-0627
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lorraine Michelle Sanlvcci, PHD RN APNC
Title
Adult NP Ceo President
Phone
(856) 690-0627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1014 N High St
Millville, NJ 08332-2527

Mailing address

1014 N High St
Millville, NJ 08332-2527
Phone (856) 690-0627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050304000010 NJ Part B Supplier - Clinic/Group Practice 4183678980 Receives reassigned benefits from 1 practitioner
Practice locations: Millville, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194712448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 N HIGH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322527",
            "telephone_number": "856-690-0627",
            "fax_number": "856-690-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N HIGH ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322527",
            "telephone_number": "856-690-0627",
            "fax_number": "856-690-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WHOLISTIC CENTER FOR WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANLVCCI",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADULT NP CEO PRESIDENT",
        "authorized_official_telephone_number": "856-690-0627",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD RN APNC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.