NPIMap

Organization Active NPI

One to One Health

Doing business as The Center for Healthy Living at PNW

  • Clinic/Center
  • Hammond, IN
National Provider Identifier
1407588114
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ONE TO ONE HEALTH
Doing business as
The Center for Healthy Living at PNW
Practice address
2250 173Rd St
Hammond, IN 46323-2074
Phone
(765) 494-0111
NPI assigned
Jun 30, 2022
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ONE TO ONE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Jen Hodges
Title
Chief Client Officer
Phone
(317) 727-9148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2250 173Rd St
Hammond, IN 46323-2074

Mailing address

1067 Riverfront Pkwy Ste 201
Chattanooga, TN 37402-2222
Phone (423) 902-9530

Other names 1

  • The Center for Healthy Living at PNW Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2264503Center for Healthy Living2250 173Rd St, Hammond, IN 46323Certificate of waiverJul 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
One to One Health PLLC23 organizations share this tax ID, including this one
Part of
One to One Health PLLC

Other organizations with this tax ID 22

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

View all 22

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1407588114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 RIVERFRONT PKWY STE 201",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022222",
            "telephone_number": "423-902-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 173RD ST",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463232074",
            "telephone_number": "765-494-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE TO ONE HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE TO ONE HEALTH",
        "enumeration_date": "2022-06-30",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "CHIEF CLIENT OFFICER",
        "authorized_official_telephone_number": "317-727-9148"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Healthy Living at PNW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Center for Healthy Living at PNW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.