Zen Wellness & Retreats, Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ZEN WELLNESS & RETREATS, INC

Doing business as

Wellness & Retreats, Inc

Practice address

7895 Broadway Ste D
Merrillville, IN 46410-5529

Phone

(219) 440-6612

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Jackie Earlene Primos, LICENSED MASSAGE TNPI 1861254815

Title

Owner

Phone

(219) 440-6612

Specialties & licenses 1

Addresses

Other names 1

• Wellness & Retreats, Inc Doing business as

Locations

Practitioners 1

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

• Jackie Earlene Primos, LMT

  • Massage Therapist
  • Merrillville, IN
  • NPI 1861254815
  NPD Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1285496307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 W 2ND AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464041108",
            "telephone_number": "219-794-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7895 BROADWAY STE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105529",
            "telephone_number": "219-440-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEN WELLNESS & RETREATS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "PRIMOS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "EARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-440-6612",
        "authorized_official_credential": "LICENSED MASSAGE T"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness & Retreats, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danille Zander, RBT
• William Zato, DO
• Andrea Zavala, RBT
• Ahmad F Zegar, MD
• Zen Wellness
• Iris Zendejas
• Song Qing Zhao, MD
• Anran Zhou, M.S.
• Raymond Zimmerman, M.D.
• Taryn Zimmerman, OTR

• Massage Therapist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.