Wellness Restoration Centers of South Carolina

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

WELLNESS RESTORATION CENTERS OF SOUTH CAROLINA

Practice address

507 Robert M Grissom Pkwy
Myrtle, SC 29577

Phone

(843) 448-4222

Fax

(843) 448-4844

NPI assigned

Feb 8, 2010

Last updated

Feb 8, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

VAN NESS ENTREPRISES, LLPAs reported in NPPES

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

Authorized official

Name

Scott Van Ness, MBA

Title

Coo

Phone

(719) 651-5102

Specialties & licenses 1

Addresses

Part of

Vanness Enterprises LLC

Locations

Practitioners 1

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.

• Judith A Nicholls, MBA

  • Nutrition Education Nutritionist
  • Myrtle Beach, SC
  • NPI 1790017408
  NPD (past)

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1447582911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1305",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295781305",
            "telephone_number": "843-448-4222",
            "fax_number": "843-448-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 ROBERT M GRISSOM PKWY",
            "city": "MYRTLE",
            "state": "SC",
            "postal_code": "29577",
            "telephone_number": "843-448-4222",
            "fax_number": "843-448-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS RESTORATION CENTERS OF SOUTH CAROLINA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAN NESS ENTREPRISES, LLP",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "VAN NESS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "719-651-5102",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillot Enterprises, LLC (U.S. Hearing Solutions)

• Nutritionist in Myrtle, SC
• Providers in Myrtle, SC by specialty
• Nutritionist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.