Organization Active NPI

Lifestyle and Wellness Institute LLC

  • Clinic/Center
  • Savannah, GA
National Provider Identifier
1508120056
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIFESTYLE AND WELLNESS INSTITUTE LLC
Practice address
7395 Hodgson Memorial Dr Ste 101
Savannah, GA 31406-1518
Phone
(912) 220-3580
NPI assigned
Jun 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Mr. Joseph B Ervin
Title
Manager
Phone
(912) 224-1318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7395 Hodgson Memorial Dr Ste 101
Savannah, GA 31406-1518

Mailing address

7395 Hodgson Memorial Dr Ste 101
Savannah, GA 31406-1518
Phone (912) 220-3580

National Provider Directory

National Provider Directory

Locations

7395 Hodgson Memorial Dr
Ste 101
Savannah, GA 31406
Phone (912) 220-3580

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1508120056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7395 HODGSON MEMORIAL DR STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061518",
            "telephone_number": "912-220-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7395 HODGSON MEMORIAL DR STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061518",
            "telephone_number": "912-220-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE AND WELLNESS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "912-224-1318",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.