The Love Warrior, Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.019511 Issued in IL

Legal business name

THE LOVE WARRIOR, INC

Practice address

1809 Lincoln
Green Bay Rd Entrance
Evanston, IL 60201

Phone

(773) 354-4553

NPI assigned

Oct 17, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Maurice Holmes, LMT, RYT, MED, M3

Title

Love Warrior

Phone

(773) 354-4553

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1386155448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 LINCOLN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012232",
            "telephone_number": "773-354-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 LINCOLN",
            "address_2": "GREEN BAY RD ENTRANCE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "773-354-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOVE WARRIOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "LOVE WARRIOR",
        "authorized_official_telephone_number": "773-354-4553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT, RYT, MED, M3"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.019511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.