Organization Active NPI

MBS Wellness LLC

  • Health Service Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1306603238
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MBS WELLNESS LLC
Doing business as
Mind Body and Soul Wellness LLC
Practice address
1002 N Mitthoefer Rd Ste a
Indianapolis, IN 46229-2461
Phone
(317) 985-4885
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Brooke D Ratcliffe, NPNPI 1710649496
Title
Manager
Phone
(317) 985-4885

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1002 N Mitthoefer Rd Ste a
Indianapolis, IN 46229-2461

Mailing address

1002 N Mitthoefer Rd Ste a
Indianapolis, IN 46229-2461
Phone (317) 985-4885

Other names 1

  • Mind Body and Soul Wellness LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1002 N Mitthoefer Rd
#A
Indianapolis, IN 46229
Phone (317) 779-7000

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": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1306603238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N MITTHOEFER RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292461",
            "telephone_number": "317-985-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N MITTHOEFER RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292461",
            "telephone_number": "317-985-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "RATCLIFFE",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-985-4885",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body and Soul Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.