Organization Active NPI

Lotus Life Total Wellness Inc.

  • Health Service Clinic/Center
  • Coatesville, PA
National Provider Identifier
1255050381
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LOTUS LIFE TOTAL WELLNESS INC.
Practice address
44 Pelham Dr
Coatesville, PA 19320-1951
Phone
(484) 784-6272
NPI assigned
Aug 23, 2022
Reactivated
Jan 18, 2023
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Briana Beverly, MS, NCC, CBISNPI 1346090750
Title
Founder and Ceo
Phone
(443) 934-5019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary
Health Maintenance Organization 302R00000X NU

Addresses

Primary practice location

44 Pelham Dr
Coatesville, PA 19320-1951

Mailing address

44 Pelham Dr
Coatesville, PA 19320-1951

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1255050381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PELHAM DR",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PELHAM DR",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201951",
            "telephone_number": "484-784-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS LIFE TOTAL WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "deactivation_date": "2023-01-13",
        "reactivation_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "BEVERLY",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "443-934-5019",
        "authorized_official_credential": "MS, NCC, CBIS"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.