NPIMap

Organization Active NPI

Regenerative Health 360 LLC

  • Multi-Specialty Clinic/Center
  • Mt Pleasant, SC
National Provider Identifier
1215526728
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
REGENERATIVE HEALTH 360 LLC
Practice address
1280 Hospital Dr Unit 100
Mt Pleasant, SC 29464-1901
Phone
(843) 329-7555
Fax
(843) 329-7561
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Jeffrey Jones
Title
Ceo
Phone
(864) 464-7985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1280 Hospital Dr Unit 100
Mt Pleasant, SC 29464-1901

Mailing address

1650 Skylyn Dr Ste 420
Spartanburg, SC 29307-1047
Phone (864) 208-9138

National Provider Directory

National Provider Directory
Tax ID family
Regenerative Health 360 LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1215526728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SKYLYN DR STE 420",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071047",
            "telephone_number": "864-208-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 HOSPITAL DR UNIT 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294641901",
            "telephone_number": "843-329-7555",
            "fax_number": "843-329-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE HEALTH 360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-464-7985"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.