Organization Active NPI

2 For Him, LLC

  • Clinic/Center
  • Waynesville, MO
National Provider Identifier
1447873914
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
2 FOR HIM, LLC
Doing business as
Serenity Spa & Wellness Center
Practice address
310 Route 66 E
Waynesville, MO 65583-2648
Phone
(573) 774-3833
NPI assigned
May 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Gary Leroy HackneyNPI 1609499185
Title
Owner
Phone
(573) 774-3833

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

310 Route 66 E
Waynesville, MO 65583-2648

Mailing address

310 Route 66 E
Waynesville, MO 65583-2648
Phone (573) 774-3833

Other names 1

  • Serenity Spa & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

310 Route 66 E
Waynesville, MO 65583
Phone (573) 774-3833

Practitioners & affiliated clinicians

Practitioners 3

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": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1447873914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 ROUTE 66 E",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832648",
            "telephone_number": "573-774-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ROUTE 66 E",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832648",
            "telephone_number": "573-774-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2 FOR HIM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "HACKNEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-774-3833"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Spa & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.