Integrated Health and Wellness LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

046117 Issued in MO

Legal business name

INTEGRATED HEALTH AND WELLNESS LLC

Practice address

119 W Centennial Ave
Bowling Green, MO 63334-1605

Phone

(573) 324-5560

Fax

(573) 324-6050

NPI assigned

Apr 4, 2018

Organization subpart

No

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

Authorized official

Name

Ruslan Muradov

Title

Owner

Phone

(314) 489-8485

Specialties & licenses 1

Addresses

Tax ID family

Integrated Health and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Integrated Health and Wellness LLC

  • Assisted Living Facility
  • Winfield, MO
  • NPI 1194219162
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Integrated Health and Wellness LLC

  • Assisted Living Facility
  • Winfield, MO
  • NPI 1194219162
  NPPES parent name

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1487150843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 SADDLERIDGE ESTATES DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631296319",
            "telephone_number": "314-489-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W CENTENNIAL AVE",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633341605",
            "telephone_number": "573-324-5560",
            "fax_number": "573-324-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 W Walnut St",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "MO",
            "postal_code": "633891122",
            "country_code": "US",
            "telephone_number": "636-668-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "MURADOV",
        "authorized_official_first_name": "RUSLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-489-8485"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "046117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Henke
• Greta Ann Goodpasture Hopke, R.D., L.D.
• Mallory Houchins, PLPC
• Anita J Huber, D.C.
• Tiffany Hughes
• Sarah Jacyna, MA, LPC
• Robyn L Jennings, LPC
• Emily Grace Jensen, PA-C
• Marlee Ann Keele, NP-C
• Marsha Lynn Klenke, MA, CCC-SLP

• Assisted Living Facility in Bowling Green, MO
• Providers in Bowling Green, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.