Renew Chiropractic and Wellness, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RENEW CHIROPRACTIC AND WELLNESS, LLC

Doing business as

Coastal Chiropractic and Wellness

Practice address

4880 Highway 22 Ste 1
Mandeville, LA 70471-6798

Phone

(985) 264-3369

NPI assigned

Jul 12, 2024

Last updated

Jul 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Todd Brown Jr., DCNPI 1841881414

Title

Member

Phone

(985) 264-3369

Specialties & licenses 1

Addresses

Other names 1

• Coastal Chiropractic and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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.

• Jeffrey T Brown Jr., DC

  • Chiropractor
  • Palestine, TX
  • NPI 1841881414

  LA

  Medicare reassignment NPD Authorized official
• Eryn McCall Brown, DC

  • Chiropractor
  • Mandeville, LA
  • NPI 1700350709

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1437996725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BIGNER RD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712502",
            "telephone_number": "985-264-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 HIGHWAY 22 STE 1",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716798",
            "telephone_number": "985-264-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "985-264-3369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leticia Redmann, FNP-C
• Refining Essentials LLC (Refine Chiro)
• Rehab Partners Inc (PAC Physical Therapy)
• Crystal Releford
• Kelly Render, LCSW
• Renouveau Recovery
• Rescare Inc
• Rescare Inc,
• Rescare Inc.
• Rescare Inc.

• Primary Care Clinic/Center in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.